Doctor behind Christa Pike's botched execution is seen for first time since Satanist killer survived lethal injections...as his other bungled case is revealed

The doctor at the center of the botched execution of murderer and Satanist Christa Pike is exclusively pictured by the Daily Mail at his isolated family home – less than 24 hours after the horror.

Dr Mark Fowler, 69, came to the door of the house just outside Union City, Tennessee and declined to discuss Pike surviving two syringes of the purportedly lethal injection drug pentobarbital.

’Thank you for coming. I have nothing to say,’ he said from behind the screen door of the four-bedroom property set on 1.5 acres.

Fowler lives 160 miles northwest of the Riverbend Maximum Security Institution in Nashville where 50-year-old Pike was injected with seven needles on Wednesday night, according to one of her attorneys, Randy Spivey.

She remains alive and is in critical condition at an ‘off-site’ medical facility, which local TV station WSMV has named as Vanderbilt University Medical Center.

Pike's case marks the second botched execution in Tennessee this year - both of which were overseen by Fowler.  

Fowler was supervising triple-killer Tony Carruthers' execution in May when the death row inmate survived 90 minutes of failed attempts by the medical team to establish an IV connection for the lethal dose.

A complaint against Fowler, filed by Carruthers’ sister, Dr Tonya Hervey, with the Tennessee Department of Health, claimed that 40 minutes into the execution attempt, the doctor took over the search for vein access and announced he was going to set a central line – a large flexible tube inserted into a chest vein.

Dr Mark Fowler, 69, who oversaw the botched execution of murderer and accused satanist Christa Pike in Tennessee was spotted for the first time at his home on Thursday

Christa Gail Pike, now 50, is alive and in critical condition in the hospital after surviving the botched execution

The tube’s needle was pushed into Carruthers’ chest while he was ‘wide awake and groaned in agony,’ the complaint claims.

Dr Hervey also alleges Fowler was unqualified to place the line because he previously admitted in a deposition that he had not performed the procedure for more than a decade.

According to the claim, Carruthers suffered a stroke as a result of the botched execution, leaving him partially paralyzed.

Tennessee Governor Bill Lee later called off the execution and gave a one-year reprieve to Carruthers, 58, who was convicted of the 1984 kidnapping and murders of Frederick Tucker, Marcellos Anderson and Anderson’s mother, Delois.

Fowler could face formal disciplinary charges if the health department finds evidence of a violation in its review. 

He has previously refused to comment on the complaint on the accusations. But he told NBC, 'Every attempt was made to minimize the defendant’s discomfort in the case at hand.'

According to his LinkedIn profile, Fowler gained his law degree from the University of Tennessee, Knoxville in 1984 and spent three years as a public defender before retraining as a physician in 1996.

Fowler has worked as an ER physician and a family doctor and is reported to hold several medical directorships.

Fowler came to the door of the house just outside Union City, Tennessee but refused to discuss Pike surviving two syringes of the purportedly lethal injection drug pentobarbital

Fowler lives 160 miles northwest of the Riverbend Maximum Security Institution in Nashville where 50-year-old Pike survived the bungled execution on Wednesday night

Fowler, who lives in this isolated family home in Union City, is reportedly paid $3,000 to oversee each Tennessee execution

He began as an ER physician at Baptist Memorial Hospital in Covington, Tennessee in 2008. Since November 2012 he has held the role of ‘corporate medical director, director regulatory affairs’ at Interstate Blood Bank, according to his LinkedIn profile.

On Facebook, the doctor describes himself as ‘Right of Center… a writer and avid outdoorsman.’

Fowler also supervised triple-killer Tony Carruthers' execution in May when the death row inmate survived 90 minutes of failed attempts by the medical team to establish an IV connection for the lethal dose 

He is reportedly paid $3,000 to oversee each Tennessee execution and was also involved in the controversial execution of Byron Black in August of 2025 – described by the killer’s attorney Kelley Henry as ‘100 percent botched.’

Black reportedly cried out in pain and shouted ‘I can’t do this’ and ‘it hurts so bad’ while repeatedly lifting his head, according to Newsweek. He was declared dead ten minutes later.

Details of Fowler's history of cases have come under renewed scrutiny ever since Pike, who was slated to be the first woman executed in Tennessee in more than 200 years, somehow managed to survive. 

President Donald Trump was among those to blast Tennessee officials over the failure to execute her. 

'How does that happen?' Trump said on Thursday. 'Should be easy to do. It shouldn't be very difficult.' 

Pike, who was sentenced to death for the 1995 murder of her Knoxville Job Corps classmate Colleen Slemmer, was taken to a hospital on Wednesday night after surviving a double dose of the lethal injection drug

Pike sang, groaned and snored during her more than 90 minutes in the death chamber (pictured) at the Riverbend Maximum Security Institution

Pike, who was sentenced to death for the 1995 murder of her Knoxville Job Corps classmate Colleen Slemmer, was taken to a hospital on Wednesday night after surviving a double dose of the drug Tennessee uses to execute prisoners. 

It was not immediately clear what went wrong.

Pike's attorneys said the execution team had worked for an hour to administer the lethal drugs as they struggled to locate a vein. 

Spivey, one of her attorneys, said he counted at least seven needles in Pike's left arm. 

Pike was singing, cackling and blessing those people in the spectators' room after she had received the first dose that should have killed her, her attorney said. 

The scene became even more bizarre when, after the second failed dose, Pike started snoring.  

Soon after, witnesses were escorted from the area as Pike was rushed to the hospital, according to her attorney. 

More than 24 hours later, Pike's attorneys said she was still in critical condition and receiving 'lifesaving care.'

'We don’t have a sense of her prognosis or much update on her health at the moment,' Spivey told reporters. 

'But we know she is alive right now.'

Pike had been on death row ever since she was convicted over the 1995 murder of her Knoxville Job Corps classmate Colleen Slemmer

The failed execution led Republican Gov. Bill Lee to order a review - calling what happened 'deeply disturbing' and indefinitely postponing Pike’s execution, as well as another one scheduled for later this year. 

Meanwhile, Pike's lawyers now want her death sentence to be commuted.

Pike and her boyfriend had both been convicted of the fatal stabbing of 19-year-old Colleen Slemmer three decades ago. 

The killing stoked fears of Satan worship at the time because of a pentagram carved on Slemmer’s body. 

Pike, for her part, never disputed that she helped kill Slemmer, but supporters argued her mental illness and allegations of severe sexual abuse should be considered. She was diagnosed with bipolar disorder and post-traumatic stress disorder shortly after the killing.

'It took me numerous years to even realize the gravity of what I’d done,' Pike once said.