Individual provider Active NPI

Olivia F Cowman

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1104562305
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3880 Parkwood Blvd
Frisco, TX 75034-1928
Phone
(972) 704-2400
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3880 Parkwood Blvd
Frisco, TX 75034-1928

Mailing address

7801 Lancelot Rd
Frisco, TX 75035-7167
Phone (601) 500-0955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003002689 TX Practitioner - Physician Assistant 7315443710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frisco Dermatology AssociatesGroup PAC ID 4789683665, 5 clinicians

Practice addresses (Care Compare)

2120 Prairie Dr
Suite 101
Prosper, TX 75078-3818
Phone (972) 645-8222

3880 Parkwood Blvd
Frisco, TX 75034-1929
Phone (972) 704-2400

3880 Parkwood Blvd
Suite 102
Frisco, TX 75034-1928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1104562305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 LANCELOT RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357167",
            "telephone_number": "601-500-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 PARKWOOD BLVD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341928",
            "telephone_number": "972-704-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWMAN",
        "first_name": "OLIVIA",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.