Active NPI
Vicki Robin McGowan II, D.O.
- Pediatrics Physician
- Bel Air, MD
National Provider Identifier
1306157441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- H77808
- Practice address
- 2014 S Tollgate Rd
Suite 200
Bel Air, MD 21015-5903 - Phone
- (410) 569-9533
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | H77808 | MD | Primary |
Addresses
Primary practice location
2014 S Tollgate Rd
Suite 200
Bel Air, MD 21015-5903
Mailing address
649 Possum Trot Way
Aberdeen, MD 21001-2658
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H77808 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Medical Center, LLC | Past | Accepting new patients | |
| University of Maryland Pediatric Associates, PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- vmcgowan881753@direct.umm.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1528163912
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1306157441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 POSSUM TROT WAY",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210012658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 S TOLLGATE RD",
"address_2": "SUITE 200",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210155903",
"telephone_number": "410-569-9533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "VICKI",
"middle_name": "ROBIN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "H77808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.