JOHN H. MCGOWAN


Address: 16 Skiff Ln, Mystic, CT 06355-3254
Phone: 8605364624

JOHN H. MCGOWAN (NPI# 1710195078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710195078
Entity Type Individual
Full Name JOHN H. MCGOWAN
Credential M.D.
Practice Address 16 Skiff Ln
Mystic
CT 06355-3254
Practice Telephone 8605364624
Practice Fax Number 8685366826
Mailing Telephone 8605364624
Mailing Fax Number 8685366826
Enumeration Date 2007-05-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0201X Pediatrics
Specialization: Pediatric Allergy/Immunology
018533 CT Allopathic & Osteopathic Physicians

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Office Location

Street Address 16 SKIFF LN
City MYSTIC
State CT
Zip Code 06355-3254

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770076069 Brian Kristofer Owczarski Physical Therapist 80 Stonington Rd Ste A-3, Mystic, CT 06355 2018-06-11
1922554120 Kayla Nickerson Gauthier Marriage & Family Therapist 41 Williams Ave, Mystic, CT 06355 2016-08-28
1417351156 Lisa Pacifico Physical Therapist 44 Maritime Dive, Mystic, CT 06355 2014-10-09
1619386539 Jennifer Rock Occupational Therapist 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 2014-08-05
1346565843 Karen Lucille Hanscom Psychologist 47 Water St. #203, Mystic, CT 06355 2010-03-29
1346415627 Eldon Richard Kilpatrick Physical Therapy Assistant 186 Jerry Browne Rd, Mystic, CT 06355 2008-04-28
1760688931 Heather Elyse Geyer Physical Therapist 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 2007-06-25
1982728754 Falck Eye Center LLC Ophthalmology 35 Washington Street, Mystic, CT 06355 2007-03-19
1881724326 Richard Irwin Steinberg Dentist 117 Cow Hill Road, Mystic, CT 06355 2007-03-06
1992890362 Coastal Dermatology, P.C. Dermatology 55 Willow Street, Mystic, CT 06355 2006-10-03
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Taxonomy Information

Taxonomy Code 2080P0201X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Allergy/Immunology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790950012 Elif Dokmeci Pediatrics 330 Cedar St, New Haven, CT 06510-3218 2008-04-28

Competitor

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City MYSTIC
Zip Code 06355

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Dataset Information

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.

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