Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Fowle, DO

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1649538505

Evan Fowle, DO is a Pathology in Oklahoma City, Oklahoma. Qualified in 2012, 14 years ago. Practices with Diagnostic Pathology Services, Inc, a 7-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
14
Licensed in
OK
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

225 NE 97th St Ste 600
Oklahoma City, OK 73114-6302
Phone: (405) 842-2061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1000 10th Ave, New York, NY 10019-1147 — (212) 523-4000
  • 1000 10th Ave, New York, NY 10019-1147 — (212) 523-4000
  • 940 Stanton L Young Blvd # 451, Oklahoma City, OK 73104-5020 — (405) 271-2422

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 6290 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649538505
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 30, 2012
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address14275 Midway Rd Ste 400, Addison, TX 75001-3614

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Diagnostic Pathology Services, Inc. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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