DR. MICHAEL R COWAN (NPI# 1891784377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891784377 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL R COWAN |
| Credential | DO |
| Practice Address |
3000 S Hulen St Ste 180 Fort Worth TX 76109-1933 |
| Practice Telephone | 8177507334 |
| Practice Fax Number | 8177319992 |
| Mailing Telephone | 8177507334 |
| Mailing Fax Number | 8177319992 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | H9459 | TX | Allopathic & Osteopathic Physicians |
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
H9459 | TX | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | H9459 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 137166812 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2215 S Loop 288 Ste 322, Denton, TX 762054984 | 8177507334 | |
| 4200 South Fwy Ste 100, Fort Worth, TX 761151407 | 8177507334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558440164 | Michael Cowan | Surgery | 1158 Island Blvd, Welch, MN 55089-9540 | 2006-11-03 |
| 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 |
3000 S HULEN ST STE 180 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760981039 | Breanne Randall | Nurse Practitioner | 3000 S Hulen St Ste 180, Fort Worth, TX 76109-1933 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165191 | Telemedicine Advantage Concierge Urgent Care | Pediatrics | 4200 South Fwy Ste 100, Fort Worth, TX 76115-1407 | 2020-05-14 |
| 1942776638 | Melissa S Wright | Pediatrics | 6115 Camp Bowie Blvd, Fort Worth, TX 76116-5512 | 2018-10-19 |
| 1366975336 | Pragadeeswari Dhanasekaran | Pediatrics | 5887 Chesapeake Pl, Fort Worth, TX 76132-2660 | 2017-04-06 |
| 1275898280 | Suvarna Kolluri | Pediatrics | 9509 N Beach St Ste 102, Fort Worth, TX 76244-6399 | 2012-07-06 |
| 1881999613 | Joyce Keck Rafati | Pediatrics | 1263 W Rosedale St, Fort Worth, TX 76104-2801 | 2011-01-26 |
| 1386886802 | Eriel Hayes | Pediatrics | 3200 Riverfront Dr Ste 103, Fort Worth, TX 76107-6560 | 2009-03-30 |
| 1194980011 | Cherryll Phoebe Taruc Libed | Pediatrics | 4701 Bryant Irvin Rd. N, Jps Viola Pitts/como, Fort Worth, TX 76107-4917 | 2008-07-21 |
| 1366605735 | Carolyn Margaret Lentzsch-parcells | Pediatrics | 4200 South Hulen Stree, Suite 450, Fort Worth, TX 76109 | 2008-07-07 |
| 1366627655 | Courtney M Carter | Pediatrics | 3201 Western Center Blvd, Suite 125, Fort Worth, TX 76137-7134 | 2008-01-04 |
| 1902017494 | Raheela Hafeez,m.d., P.a. | Pediatrics | 855 Montgomery Street, Fort Worth, TX 76107-2553 | 2007-05-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
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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.