DR. JOHN DAVID MCGOWAN (NPI# 1962480897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962480897 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID MCGOWAN |
| Credential | MD |
| Practice Address |
19020 33rd Ave W Ste 210 Lynnwood WA 98036-4748 |
| Practice Telephone | 4255631500 |
| Practice Fax Number | 4255631501 |
| Mailing Telephone | 4255631500 |
| Mailing Fax Number | 4255631374 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MEDS6002 | AK | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M-12327 | ID | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00043387 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1010167 | 05 | |
| WA | LNI-EVERGREEN RADIA | 0184785 | 01 |
| WA | LNI-RADIA REST OF WA | 0184787 | 01 |
| WA | LNI-SWEDISH RADIA EDMONDS | 0204114 | 01 |
| ID | 1962480897 | 05 | |
| WA | LNI-RADIA KING COUNTY | 0377930 | 01 |
| WA | 8392599 | 05 | |
| WA | LNI-SOUTH SOUND RADIOLOGY | 0385222 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507142 | John Anthony Mcgowan | Social Worker | Ext. Zano Gandia A10 #239, Arecibo, PR 00612-0061 | 2020-01-23 |
| 1437491917 | John E Mcgowan Jr. | Internal Medicine | 2421 Oak Grove Valley Rd Ne, Atlanta, GA 30345-3885 | 2013-03-21 |
| 1710195078 | John H. Mcgowan | Pediatrics | 16 Skiff Ln, Mystic, CT 06355-3254 | 2007-05-18 |
| 1639215635 | John C Mcgowan | Physical Therapist | 2490 Willamette St Ste 5, Eugene, OR 97405-3165 | 2007-01-29 |
| 1164624573 | John Bradley Mcgowan | Neurological Surgery | 7777 Forest Ln, Suite A-337, Dallas, TX 75230-2571 | 2007-06-05 |
| 1801991658 | John R Mcgowan | Clinical Neuropsychologist | 3829 Church Rd, Mount Laurel, NJ 08054-1105 | 2006-09-14 |
| 1649385949 | John A. Mcgowan | Pharmacist | 1500 E Woodrow Wilson Drive, Jackson, MS 39216-5199 | 2006-08-20 |
| 1871517920 | John Mcgowan | Physician Assistant | 3531 Little Rd, Trinity, FL 34655-1811 | 2006-07-26 |
| 1215993696 | John A. Mcgowan | Hospitalist | 2010 Health Campus Dr, Harrisonburg, VA 22801-8679 | 2006-04-25 |
| 1568450237 | John Michael Mcgowan | Family Medicine | 384 County Road 513, Califon, NJ 07830-4158 | 2005-10-07 |
| Street Address |
19020 33RD AVE W STE 210 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556868 | Prabhakar P. Kesava | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2005-05-31 |
| 1861869661 | Elysia Bethany Louise Andrews | Physician Assistant | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2015-08-27 |
| 1962805226 | Ryan A. Gilbreth | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-10-01 |
| 1154735561 | Harrison Patrick March | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-06-13 |
| 1881005833 | Yasmin Syeda Akbari | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-05-13 |
| 1225458839 | Nicholas Ryan Galloway | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-04-22 |
| 1639598873 | Bradley David Griffitts | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-04-15 |
| 1427476704 | Ryan Frederick Herde | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-04-03 |
| 1679991442 | Xi Zhang | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-03-31 |
| 1922432335 | Tamuna Chabra | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2013-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386650612 | Jane Wallis Barry | Radiology | 15996 E. Shore Drive, Lynnwood, WA 98037 | 2006-07-31 |
| 1902890700 | Elizabeth W Cotter | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | 2005-09-07 |
| 1962805226 | Ryan A. Gilbreth | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-10-01 |
| 1881005833 | Yasmin Syeda Akbari | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-05-13 |
| 1225458839 | Nicholas Ryan Galloway | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-04-22 |
| 1639598873 | Bradley David Griffitts | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-04-15 |
| 1427476704 | Ryan Frederick Herde | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-04-03 |
| 1679991442 | Xi Zhang | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-03-31 |
| 1922432335 | Tamuna Chabra | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2013-08-22 |
| 1396189445 | Zachary Robert Ashwell | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2013-04-19 |
| Find all providers in LYNNWOOD | ||||
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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.