DR. RANDY GENE COWART (NPI# 1780682732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780682732 |
| Entity Type | Individual |
| Full Name | DR. RANDY GENE COWART |
| Credential | M.D. |
| Practice Address |
1350 Cedar Ct Carbondale IL 62901-5336 |
| Practice Telephone | 6185292955 |
| Practice Fax Number | 6184577823 |
| Mailing Telephone | 6185292955 |
| Mailing Fax Number | 6184577823 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2009-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036-085906 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36-085906 | 05 |
| Street Address |
1350 CEDAR CT |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-5336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982109419 | Jacqueline B Biggs | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2018-03-27 |
| 1053833343 | Stuart Kent Lankford | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2017-07-09 |
| 1487700696 | Southern Illinois Nutrition Specialties | Dietitian, Registered | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2007-01-28 |
| 1447288501 | Yuan Chen | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2006-06-29 |
| 1679511281 | Mary Rosenhauer | Physician Assistant | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2006-06-04 |
| 1992763312 | Muhammad Kamran | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235609819 | Antoinette Batson | Internal Medicine | 1350 Cedar Court, Carbondale, IL 62901 | 2018-11-27 |
| 1982109419 | Jacqueline B Biggs | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2018-03-27 |
| 1508373770 | Christy R Holmes | Internal Medicine | 1350 Cedar Court, Carbondale, IL 62901 | 2018-01-09 |
| 1053833343 | Stuart Kent Lankford | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2017-07-09 |
| 1447288501 | Yuan Chen | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2006-06-29 |
| 1992763312 | Muhammad Kamran | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987618 | Kireet Agrawal Incorporated | Internal Medicine | 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 | 2019-05-10 |
| 1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
| 1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
| 1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
| 1013301605 | Anand Ramadorai | Internal Medicine | 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 | 2015-03-23 |
| 1578955654 | R. Gandhi Md S C | Internal Medicine | 602 N East Ave, Oak Park, IL 60302-1716 | 2015-02-25 |
| 1619389715 | Kidney Care Center Olympia Fields LLC | Internal Medicine | 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 | 2014-05-22 |
| 1548687783 | Salim Mujais | Internal Medicine | 2742 The Mews, Northbrook, IL 60062-2617 | 2014-03-26 |
| 1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
| 1649616822 | Bun Siu L. Co | Internal Medicine | 838 Highland Rd., Frankfort, IL 60423 | 2013-05-15 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.