Kids Care Medical Center

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

21143 Issued in TN

Legal business name

KIDS CARE MEDICAL CENTER

Practice address

6073 Mt Moriah Rd Ext
Suite 2
Memphis, TN 38115-2666

Phone

(901) 365-2555

Fax

(901) 365-2544

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Langston Cowan III, MDNPI 1063597979

Title

Owner

Phone

(901) 365-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JAMES L. COWAN, M. D. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Langston Cowan III, M.D.

  • Pediatric Adolescent Medicine Physician
  • West Memphis, AR
  • NPI 1063597979
  NPD (past) Authorized official

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1346649894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6073 MT MORIAH RD EXT",
            "address_2": "SUITE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152666",
            "telephone_number": "901-365-2555",
            "fax_number": "901-365-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6073 MT MORIAH RD EXT",
            "address_2": "SUITE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152666",
            "telephone_number": "901-365-2555",
            "fax_number": "901-365-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LANGSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-365-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TN",
            "license": "21143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3896594",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES L. COWAN, M. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lakrisha G Kidd, LPTA
• Kidney Care Center Memphis LLC
• Kidney Care Center,P.L.L.C.
• Kidney Care Consultants, P.C.
• Kidney Specialists, P.C.
• Patsy-Ruth Erwin Kiefer, M.D.
• Brian Norman Kiel, D.P.M.
• Tyreisha Kight
• Karlee Darby Kiihnl
• Roger Dale Kilcoyne, DDS

• Pediatric Adolescent Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Adolescent Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.