Active NPI
William L Cowardin, MD
- Nephrology Physician
- St Cloud, MN
National Provider Identifier
1356332829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 30744
- Practice address
- 1200 Sixth Ave North
St Cloud, MN 58303 - Phone
- (320) 252-5131
- Fax
- (320) 240-2118
- NPI assigned
- Nov 2, 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 30744 | MN | Primary |
Addresses
Primary practice location
1200 Sixth Ave North
St Cloud, MN 58303
Mailing address
1200 Sixth Ave North
St Cloud, MN 58303
Phone (320) 252-5131
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108497 | Other | U CARE | |
| 2114037 | Other | FIRST HEALTH PLAN | |
| 30744 | Other | MN LICENSE NUMBER | |
| 05201999 | Other | MMSI | |
| 600905 | Other | ARAZ GROUP AMERICAS PPO | |
| 6D058CO | Other | BLUE CROSS BLUE SHIELD | |
| 108083100 | Other | MEDICAL ASSISTANCE | |
| 3129213 | Other | MEDICAL HEALTH PLANS | |
| 986004 | Other | PREFERRED ONE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- St Joseph, MN
- NPI 1134121759
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1356332829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SIXTH AVE NORTH",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "58303",
"telephone_number": "320-252-5131",
"fax_number": "320-240-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SIXTH AVE NORTH",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "58303",
"telephone_number": "320-252-5131",
"fax_number": "320-240-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWARDIN",
"first_name": "WILLIAM",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MN",
"license": "30744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CARE",
"identifier": "108497",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PLAN",
"identifier": "2114037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN LICENSE NUMBER",
"identifier": "30744",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMSI",
"identifier": "05201999",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ GROUP AMERICAS PPO",
"identifier": "600905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "6D058CO",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "108083100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL HEALTH PLANS",
"identifier": "3129213",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "986004",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.