1326022542 NPI number — AMERIGROUP OHIO, INC.

Table of content: DR. JAMES WHITTON LOWE M.D. (NPI 1073505947)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326022542 NPI number — AMERIGROUP OHIO, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERIGROUP OHIO, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326022542
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10123 ALLIANCE RD
Provider Second Line Business Mailing Address:
SUITE 104
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45242-4714
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-733-2300
Provider Business Mailing Address Fax Number:
513-733-0516

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10123 ALLIANCE RD
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45242-4714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-733-2300
Provider Business Practice Location Address Fax Number:
513-733-0516
Provider Enumeration Date:
12/01/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FLETCHER
Authorized Official First Name:
GARY
Authorized Official Middle Name:
HALL
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
513-733-2300

Provider Taxonomy Codes

  • Taxonomy code: 302R00000X , with the licence number:  00307 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)