Active NPI
Sherri L Macgowan, DC
- Chiropractor
- Wilton, IA
National Provider Identifier
1093769721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A5435
- Practice address
- 2795 120TH St
Wilton, IA 52778-9335 - Phone
- (563) 732-2192
- NPI assigned
- May 19, 2006
- Last updated
- Jul 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A5435 | IA | Primary |
Addresses
Primary practice location
2795 120TH St
Wilton, IA 52778-9335
Mailing address
2795 120TH St
Wilton, IA 52778-9335
Phone (563) 732-2192
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38958 | Other | IA | WELLMARK BLUE CROSS BLUE |
| 1286500 | Medicaid | IA | |
| 22562 | Other | IA | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5435 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wathan Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Kalispell, MT
- NPI 1114114030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1093769721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2795 120TH ST",
"city": "WILTON",
"state": "IA",
"postal_code": "527789335",
"telephone_number": "563-732-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2795 120TH ST",
"city": "WILTON",
"state": "IA",
"postal_code": "527789335",
"telephone_number": "563-732-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACGOWAN",
"first_name": "SHERRI",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A5435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BLUE CROSS BLUE",
"identifier": "38958",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1286500",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "22562",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilton, IA
- Jennifer Hunter, PHARM D.
- Iowa Physicians Clinic Medical Foundation (UnityPoint Clinic - Family Medicine - Wilton)
- Kelly Sue Jeffers-Gray, MOT, OTR/L
- Elleann Kohl
- Tracey Anne Littrell, DC
- Rachael Martin, PT
- Lisa Michaels, DC
- Melanie Elizabeth Hexen Retterer, CPM
- Laura Fitzpatrick Sass Meincke, DDS
- Simpson Memorial Home Inc (Wilton Retirement Community)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.