Individual provider Active NPI

Alan Lee Cowan, MD

  • Otolaryngology Physician
  • Olympia, WA
National Provider Identifier
1013111673
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M7126 Issued in TX
Practice address
3920 Capital Mall Dr SW Ste 100a
Olympia, WA 98502-8701
Phone
(360) 704-4745
Fax
(360) 704-4746
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X M7126 TX Primary

Addresses

Primary practice location

3920 Capital Mall Dr SW Ste 100a
Olympia, WA 98502-8701

Mailing address

3920 Capital Mall Dr SW Ste 100a
Olympia, WA 98502-8701
Phone (360) 704-4745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170703001709 WA Practitioner - Otolaryngology 2860588878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical Branch at Galveston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Medical Center Specialty Physicians LLCGroup PAC ID 2567651771, 103 clinicians

Practice addresses (Care Compare)

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 704-4743

3920 Capital Mall Dr SW
Olympia, WA 98502-8701

Hospital & facility affiliations

  • Capital Medical Center Hospital, Olympia, WA, CCN 500139
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince May 19, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince May 19, 2021 Accepting new patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Aug 1, 2017 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

3920 Capital Mall Dr SW
Ste 100A
Olympia, WA 98502
Phone (360) 596-4614

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

Interoperability endpoints

  • Direct secure messaging: alan.cowan.1@2876.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1013111673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 CAPITAL MALL DR SW STE 100A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028701",
            "telephone_number": "360-704-4745",
            "fax_number": "360-704-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 CAPITAL MALL DR SW STE 100A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028701",
            "telephone_number": "360-704-4745",
            "fax_number": "360-704-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "ALAN",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M7126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.