MICHAEL COWAN (NPI# 1558440164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558440164 |
| Entity Type | Individual |
| Full Name | MICHAEL COWAN |
| Credential | MD |
| Practice Address |
1158 Island Blvd Welch MN 55089-9540 |
| Practice Telephone | 6513854148 |
| Mailing Telephone | 6513854148 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 41281 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA - MANKATO | 66-04851 | 01 |
| MN | MEDICA - ELK RIVER | 66-04853 | 01 |
| MN | BLUE CROSS | 71B72NO | 01 |
| MN | MEDICA - EAGAN | 66-04852 | 01 |
| MN | PREFERRED ONE | 1031019 | 01 |
| MN | BLE PLUS | 203T5CO | 01 |
| MN | MEDICA - ROSE | 66-05190 | 01 |
| MN | MN DEPT HUMAN SERVICES | 5720176 00 | 01 |
| MN | MEDICA - MTKA | 66-04850 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784377 | Michael R Cowan | Emergency Medicine | 3000 S Hulen St Ste 180, Fort Worth, TX 76109-1933 | 2005-10-18 |
| 1962042630 | Michael E Cowan Jr. | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1912468315 | Michael Cowan | Physical Therapy Assistant | 984 N Meridian Pl, Wasilla, AK 99654-7215 | 2019-03-28 |
| 1093052250 | Michael Waistell Cowan | Pharmacist | 320 York Rd, Carlisle, PA 17013-3180 | 2013-01-08 |
| 1457650400 | Michael Waistell Cowan | Pharmacist | 1814 Spring Rd, Carlisle, PA 17013-1150 | 2011-03-16 |
| 1427096650 | Michael K Cowan | Dentist | 103 Haven Rd, Elmhurst, IL 60126-2923 | 2006-06-02 |
| 1326046186 | Michael A Cowan | Neurological Surgery | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2005-07-14 |
| Street Address |
1158 ISLAND BLVD |
| City | WELCH |
| State | MN |
| Zip Code | 55089-9540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144784786 | Marla Decker | Nurse Practitioner | 1158 Island Blvd, Welch, MN 55089-9540 | 2019-01-28 |
| 1053810846 | Erica Marie Bohlke | Physician Assistant | 1158 Island Blvd, Welch, MN 55089-9540 | 2018-02-07 |
| 1073050761 | Piic Clinical Services | Clinic/Center | 1158 Island Blvd, Welch, MN 55089-9540 | 2017-01-19 |
| 1821305129 | Prairie Island Indian Community | Clinic/Center | 1158 Island Blvd, Welch, MN 55089-9540 | 2010-09-08 |
| 1881901114 | Bernice Kae Ronningen | Licensed Practical Nurse | 1158 Island Blvd, Welch, MN 55089-9540 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568075356 | James Kuhaulua | Massage Therapist | 10 Old Deerfield Rd, Welch, MN 55089-9515 | 2020-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952814 | Maura Smith | Technician | 82 Little Egypt Rd, Welch, WV 24801-2922 | 2020-11-03 |
| 1144821687 | Amy Marie Dotson | Technician | 124973 Loop Seven Highway, Welch, WV 24801 | 2020-11-02 |
| 1386243947 | Lora Bailey | Technician | Riverside Dr, Welch, WV 24801 | 2020-10-23 |
| 1245839141 | Betty Ann Sprouse | Technician | 160 Grandview St, Welch, WV 24801-2110 | 2020-10-21 |
| 1215543038 | Tymeisha Saunders | Technician | 47 Riverside Dr Apt 14, Welch, WV 24801-2538 | 2020-09-17 |
| 1174138515 | Amy Lee West | Nurse Practitioner | 454 Mcdowell St Ste B, Welch, WV 24801-2029 | 2020-09-12 |
| 1568075356 | James Kuhaulua | Massage Therapist | 10 Old Deerfield Rd, Welch, MN 55089-9515 | 2020-08-31 |
| 1053924142 | Brittany Rotenberry | Technician | 173 Virginia Ave, Welch, WV 24801-2436 | 2020-08-28 |
| 1548873904 | Lora Jane Lambert | Technician | 12 Willis Ways Rd, Welch, WV 24801-9781 | 2020-08-26 |
| 1245842491 | Brittany S Copley | Technician | 299 Beech St, Welch, WV 24801-2307 | 2020-08-19 |
| Find all providers in WELCH | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725197 | Advanced Surgical Associates of Northern Minnesota LLC | Surgery | 4325 9th Ave W, Hibbing, MN 55746-3032 | 2020-09-23 |
| 1518512680 | Loay Aljaberi | Surgery | Mayo Clinic 200 1st Sw, Rochester, MN 55905-0001 | 2019-08-06 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| 1669836268 | Erinn Afflick | Surgery | 200 1st South St, Rochester, MN 55905-0001 | 2016-04-09 |
| 1063899250 | Andrew Bergersen | Surgery | 3366 Oakdale Ave N Ste 303, Robbinsdale, MN 55422-2977 | 2015-04-27 |
| 1619362001 | Sean Luke Peterson | Surgery | 9 W Franklin Ave Apt 306, Minneapolis, MN 55404-2594 | 2015-04-02 |
| 1699173716 | Caliann Tsuitsin Lum | Surgery | 110 Bank St Se Apt 904, Minneapolis, MN 55414-3903 | 2014-12-06 |
| 1972920338 | Emily Rapstine Bond | Surgery | 420 Delaware St Se # 207, Minneapolis, MN 55455 | 2014-03-24 |
| 1518200914 | Jessica Shaheen | Surgery | 303 E Nicollet Blvd Ste 300, Burnsville, MN 55337 | 2013-04-03 |
| Find all providers with the same taxonomy | ||||
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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.