Provider Demographics
NPI:1649356262
Name:LOWDEN, ERIC RICHARD (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:RICHARD
Last Name:LOWDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 GARFIELD AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5444
Mailing Address - Country:US
Mailing Address - Phone:304-424-2085
Mailing Address - Fax:304-424-2043
Practice Address - Street 1:705 GARFIELD AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5444
Practice Address - Country:US
Practice Address - Phone:304-424-2085
Practice Address - Fax:304-424-2043
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV19399207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0093823000Medicaid
OH35 . 065976OtherSTATE MEDICAL BOARD OF OHIO
WV19399OtherWV BOARD OF MEDICINE
OH2024357Medicaid
OH0814193Medicare PIN
OH2024357Medicaid