Active NPI
Gregory Cowan, D.C.
- Chiropractor
- Mt Sterling, IL
National Provider Identifier
1154417723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038005980
- Practice address
- 108 East Main Street
Mt. Sterling, IL 62353-1326 - Phone
- (217) 773-3484
- NPI assigned
- Oct 4, 2006
- Last updated
- Sep 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 038005980 | IL | Primary |
Addresses
Primary practice location
108 East Main Street
Mt. Sterling, IL 62353-1326
Mailing address
108 East Main Street
Mt. Sterling, IL 62353-1326
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00582003 | Other | IL | BS OF IL PROVIDER NUMBER |
| 038005980 | Other | IL | RR PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111122000820 | IL | Practitioner - Chiropractic | 1254505514 | Practice locations: Mount Sterling, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
108 E Main St
Mount Sterling, IL 62353-1326
Phone (217) 773-3484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038005980 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1154417723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 EAST MAIN STREET",
"city": "MT. STERLING",
"state": "IL",
"postal_code": "623531326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 EAST MAIN STREET",
"city": "MT. STERLING",
"state": "IL",
"postal_code": "623531326",
"telephone_number": "217-773-3484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAN",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038005980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF IL PROVIDER NUMBER",
"identifier": "00582003",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR PROVIDER NUMBER",
"identifier": "038005980",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Sterling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.