Individual provider Active NPI

Laura Ann Gowen, MD

  • Plastic Surgery Physician
  • Bryn Mawr, PA
National Provider Identifier
1033370911
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD451957 Issued in PA
Practice address
919 Conestoga Rd
Building Two, Suite 105
Bryn Mawr, PA 19010-1352
Phone
(610) 525-0500
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD451957 PA Primary

Addresses

Primary practice location

919 Conestoga Rd
Building Two, Suite 105
Bryn Mawr, PA 19010-1352

Mailing address

919 Conestoga Rd
Building Two, Suite 307
Bryn Mawr, PA 19010-1352
Phone (610) 525-0500

Other names 1

  • Dr. Laura Ann Seiboth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150625001306 PA Practitioner - Plastic and Reconstructive Surgery 1052622479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Georgetown University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

919 Conestoga Rd
Suite 2 105
Bryn Mawr, PA 19010-1353
Phone (610) 525-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.43 of 100Reported as individual
Quality
89.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy17
Melanoma (skin cancer) excision52
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD451957PAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists, P.C. CurrentSince Oct 1, 2018 Accepting new patients
Cirillo Center for Plastic Surgery Plastic Surgery CurrentSince Jun 8, 2015 Accepting new patients

Locations

919 Conestoga Rd
Ste 2-105
Bryn Mawr, PA 19010
Phone (610) 525-0500

919 Conestoga Rd
Ste 2-307
Bryn Mawr, PA 19010

919 Conestoga Rd
Ste 105
Bryn Mawr, PA 19010

213 Reeceville Rd
Ste 23
Coatesville, PA 19320
Phone (610) 383-7800

255 W Lancaster Ave
Ste 332
Paoli, PA 19301
Phone (610) 641-9011

915 Old Fern Hill Rd
Bldg D
West Chester, PA 19380
Phone (610) 235-4100

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1033370911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING TWO, SUITE 307",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-525-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING TWO, SUITE 105",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-525-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWEN",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD451957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SEIBOTH",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.