SHANE MATTHEW MCGOWAN (NPI# 1306288816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306288816 |
| Entity Type | Individual |
| Full Name | SHANE MATTHEW MCGOWAN |
| Credential | M.D. |
| Practice Address |
860 Omni Blvd Ste 113 Newport News VA 23606-4430 |
| Mailing Address |
860 Omni Blvd Ste 101 Newport News VA 23606-4430 |
| Practice Telephone | 7573270657 |
| Practice Fax Number | 7572405096 |
| Mailing Telephone | 7572328769 |
| Mailing Fax Number | 7572328875 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2019-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 0101266708 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MT204834 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GRADUATE MEDICAL TRAINEE LICENSE | MT204834 | 01 |
| VA | VIRGINIA BOARD OF MEDICINE | 0101266708 | 01 |
| Street Address |
860 OMNI BLVD STE 113 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376673103 | Nicholas A Smerlis | Specialist | 860 Omni Blvd Ste 113, Newport News, VA 23606-4430 | 2007-03-07 |
| 1336677319 | Brandon Burr | Nurse Practitioner | 860 Omni Blvd Ste 113, Newport News, VA 23606-4430 | 2017-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801957378 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Orthopaedic Surgery | 250 Nat Turner Blvd, Newport News, VA 23606 | 2006-12-12 |
| 1093789430 | Joel D. Stewart | Orthopaedic Surgery | 250 Nat Turner Blvd S, Newport News, VA 23606 | 2006-02-14 |
| 1013438779 | Zachary Tan | Orthopaedic Surgery | 730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 | 2017-07-03 |
| 1669735668 | Paul B Mclendon | Orthopaedic Surgery | 12200 Warwick Blvd Ste 310, Newport News, VA 23601 | 2012-06-25 |
| 1649412990 | Jacob Lantry | Orthopaedic Surgery | 12200 Warwick Blvd, Suite 480, Newport News, VA 23601-2344 | 2009-04-01 |
| 1356582415 | Newport News Shipbuilding, A Division of Huntington Ingalls Industries | Orthopaedic Surgery | 4101 Washington Ave, Dept. 028, Bldg. 15, Newport News, VA 23607-2734 | 2009-03-18 |
| 1881840569 | Stephen H Cummings | Orthopaedic Surgery | 860 Omni Blvd, Ste 113, Newport News, VA 23606-4434 | 2008-08-13 |
| 1477715456 | Scott Richard Kling | Orthopaedic Surgery | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2008-06-30 |
| 1316139256 | John David Burrow | Orthopaedic Surgery | 250 Nat Turner Blvd S, Newport News, VA 23606-3074 | 2007-08-14 |
| 1891857629 | Robert James Snyder | Orthopaedic Surgery | 250 Nat Turner Blvd S, Newport News, VA 23606-2899 | 2006-12-15 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.