Active NPI
Larry Ira Cowan, D.O.
- Family Medicine Physician
- Thornville, OH
National Provider Identifier
1023002011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34006965
- Practice address
- 41 Foster Dr
Thornville, OH 43076-8010 - Phone
- (740) 246-6361
- Fax
- (740) 246-4722
- NPI assigned
- Sep 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 34.003340 | OH | |
| Family Medicine Physician | 207Q00000X | 34006965 | OH | Primary |
Addresses
Primary practice location
41 Foster Dr
Thornville, OH 43076-8010
Mailing address
PO Box 1821
Zanesville, OH 43702-1821
Phone (740) 455-3304
Other practice location 1
2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0492024 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100315000408 | OH | Practitioner - Family Practice | 3870490022 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Group of Southeastern Ohio Inc
Practice addresses (Care Compare)
41 Foster Dr
Thornville, OH 43076-8010
Phone (740) 455-3304
Hospital & facility affiliations
- Genesis Hospital
- Fairfield Medical Center
- Licking Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00340 | OH | MD | Peer Specialist |
| 34006965 | OH | MD | Family Medicine Physician |
| 34.003340 | OH | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Home Primary Care Center | Family Medicine | Current | Accepting new patients |
| Thornville Family Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Geriatric Associates of Zanesville | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- larry.cowan.p16@direct.pgseo.nextgenshare.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Thornville, OH
- NPI 1447226931
Family Medicine, OH
-
- Internal Medicine Physician
- Zanesville, OH
- NPI 1528177730
OH
-
- Family Medicine Physician
- Zanesville, OH
- NPI 1578870911
Family Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- Crooksville, OH
- NPI 1730248816
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1023002011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1821",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437021821",
"telephone_number": "740-455-3304",
"fax_number": "740-455-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 FOSTER DR",
"city": "THORNVILLE",
"state": "OH",
"postal_code": "430768010",
"telephone_number": "740-246-6361",
"fax_number": "740-246-4722"
}
],
"practiceLocations": [
{
"address_1": "2951 Maple Ave",
"address_purpose": "LOCATION",
"city": "Zanesville",
"state": "OH",
"postal_code": "437011406",
"country_code": "US",
"telephone_number": "740-454-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COWAN",
"first_name": "LARRY",
"middle_name": "IRA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "OH",
"license": "34.003340",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34006965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0492024",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thornville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.