Organization Active NPI

Cowen Clinic for Rehabilitation Medicine, Apmc

  • Specialist
  • Thibodaux, LA
National Provider Identifier
1215214366
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD021323 Issued in LA
Legal business name
COWEN CLINIC FOR REHABILITATION MEDICINE, APMC
Practice address
604 N Acadia Rd
Suite 100
Thibodaux, LA 70301-4897
Phone
(985) 447-9922
Fax
(985) 447-9006
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Todd Duson Cowen, M.D.
Title
Physician/President of Corporation
Phone
(985) 447-9922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD021323 LA Primary

Addresses

Primary practice location

604 N Acadia Rd
Suite 100
Thibodaux, LA 70301-4897

Mailing address

604 N Acadia Rd
Suite 100
Thibodaux, LA 70301-4897
Phone (985) 447-9922

Other identifiers 1

IdentifierTypeStateIssuer
1662879MedicaidLA

National Provider Directory

National Provider Directory

Locations

726 N Acadia Rd
Ste 2600
Thibodaux, LA 70301
Phone (985) 447-9922

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1215214366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD",
            "address_2": "SUITE 100",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-447-9922",
            "fax_number": "985-447-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD",
            "address_2": "SUITE 100",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-447-9922",
            "fax_number": "985-447-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWEN CLINIC FOR REHABILITATION MEDICINE, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "COWEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "DUSON",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "985-447-9922",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD021323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1662879",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.