MEDICARE: DR. LAYSHIA T FOWLER D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	01384	MD
2	213E00000X	Podiatrist	PO1000049	DC
3	213ES0103X	Foot & Ankle Surgery Podiatrist	0103300869	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396780128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAYSHIA T FOWLER D.P.M.

Provider Business Mailing Address
First Line	:	8502 16TH ST
Second Line	:	APT. 201
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-2967
Country	:	US
Telephone Number	:	301-537-9278
Fax Number	:	301-585-0017

Provider Business Practice Location Address
First Line	:	5100 WISCONSIN AVE NW
Second Line	:	SUITE 522
City	:	WASHINGTON
State	:	DC
Zip	:	20016-4119
Country	:	US
Telephone Number	:	202-966-0900
Fax Number	:	202-966-0836

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. LAYSHIA T FOWLER D.P.M.” Practice Location

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