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

Zachary Alan Fowler, DO

Individual provider Family Medicine Physician · NPI 1164659983

Zachary Alan Fowler, DO is a Family Practice in Tulsa, Oklahoma. Qualified in 2009, 17 years ago. Practices with St John Urgent Care Clinics Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
17
Licensed in
OK
In the registry since
2009
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

1717 S Utica Ave Ste A
Tulsa, OK 74104-5346
Phone: (918) 748-7557
Fax: (918) 748-7514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4900 (OK)

Record details

NPI number1164659983
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 18, 2009
Last updated in NPPESJune 5, 2014
Mailing address1717 S Utica Ave Ste A, Tulsa, OK 74104-5346

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice St John Urgent Care Clinics Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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