Kwan J McDowell

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

143403

Practice address

45 W Crystal Lake St Ste 300
Orlando, FL 32806-4477

Phone

(407) 254-2522

NPI assigned

Apr 18, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1124814850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CRYSTAL LAKE ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-849-6868",
            "fax_number": "407-254-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W CRYSTAL LAKE ST STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064477",
            "telephone_number": "407-254-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "KWAN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "143403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D McDonough, MD
• Robin McDonough
• Bambi McDougald, MS, RBT
• Sharon Sanduski McDougall, MA OTR/L
• Janet E McDowell-Travis, DDS
• Tammy T. McDowell, M.D.
• Alyssa McDuffie, MS, RD, LDN
• Brianna Sherice McDuffie
• Gregory S. McDuffie, CRNA
• Latasha McDuffie

• Surgical Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.