Basic Information
Provider Information
NPI: 1144334012
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWKINS
FirstName: MICHAEL
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 7527
Address2:  
City: DUBLIN
State: OH
PostalCode: 430170727
CountryCode: US
TelephoneNumber: 6147885400
FaxNumber: 6147885500
Practice Location
Address1: 290 E TOWN ST
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432154602
CountryCode: US
TelephoneNumber: 6147885400
FaxNumber: 6147885500
Other Information
ProviderEnumerationDate: 08/18/2006
LastUpdateDate: 03/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LA0401X34.004364OHN Allopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
207L00000X34004364OHY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
070644505OH MEDICAID
H78914101OHMEDICAREOTHER


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