Active NPI
James Paul Kowall, M.D.
- Neurology Physician
- Coos Bay, OR
National Provider Identifier
1245237908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 22442
- Practice address
- 1925 Thompson Rd
Coos Bay, OR 97420-2040 - Phone
- (541) 267-0330
- Fax
- (541) 267-0265
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 22442 | OR | Primary |
Addresses
Primary practice location
1925 Thompson Rd
Coos Bay, OR 97420-2040
Mailing address
1925 Thompson Rd
Coos Bay, OR 97420-2040
Phone (541) 267-0330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288448 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22442 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Coast Neurology Clinic | Neurology | Past | Accepting new patients |
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.
-
- Neurology Physician
- Coos Bay, OR
- NPI 1114049640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1245237908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202040",
"telephone_number": "541-267-0330",
"fax_number": "541-267-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202040",
"telephone_number": "541-267-0330",
"fax_number": "541-267-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALL",
"first_name": "JAMES",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "22442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288448",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.