Sarah Elizabeth McGowan, MD
Individual provider Active NPI Pediatrics Physician · Auburn, MA
NPI 1255860896 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1255860896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- LP04010 (RI)
- Practice address
- 105 Millbury St
Auburn, MA 01501-3205 - Phone
- (508) 832-9691
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170627003036 | RI | Order and Referring Only - Pediatric Medicine |
6406125988 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Health Associates | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- smcgowan19181@direct.chppoc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LP04010 | RI | Yes |
Addresses
Primary practice location
105 Millbury St
Auburn, MA 01501-3205
Mailing address
105 Millbury St
Auburn, MA 01501-3205
Phone (508) 832-9691
Other providers in Auburn, MA
- Catherine Marie Mase
- Adele Mayer
- Wendy McCurley
- Johanna T McDermott
- Colby L McGinn
- Brenda M McHugh
- Rebecca McLaughlin
- William J. McLaughlin
- McLeod Eye Associates, P.C.
- Kimberly McLeod
All providers in Auburn, MA · Pediatrics Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.