Active NPI
Cory McGowan
- Physician Assistant
- Beaumont, TX
National Provider Identifier
1235731878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3420 Veterans Cir
Beaumont, TX 77707-2552 - Phone
- (409) 981-8550
- Fax
- (409) 981-8563
- NPI assigned
- Nov 9, 2020
- Last updated
- Apr 6, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3420 Veterans Cir
Beaumont, TX 77707-2552
Mailing address
3420 Veterans Cir
Beaumont, TX 77707-2552
Phone (409) 981-8550
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220517002742 | TX | Order and Referring Only - Physician Assistant | 8123405941 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1235731878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 VETERANS CIR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072552",
"telephone_number": "409-981-8550",
"fax_number": "409-981-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 VETERANS CIR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072552",
"telephone_number": "409-981-8550",
"fax_number": "409-981-8563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "CORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-09",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.