Donna J Gowin, M.D.
Individual provider Active NPI Psychiatry Physician · Thayer, MO
NPI 1407910318 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1407910318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- J1253 (TX)
- Practice address
- 202 Risner Ave.
Thayer, MO 65791 - Phone
- (417) 280-5556
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005038355 | MO | MD | Psychiatry Physician |
| J1253 | TX | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2005038355 | MO | |
| Psychiatry Physician | 2084P0800X | J1253 | TX | Yes |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2005038355 | MO | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | J1253 | TX |
Addresses
Primary practice location
202 Risner Ave.
Thayer, MO 65791
Mailing address
RT. 1 Box 4 - 1
Koshkonong, MO 65692
Phone (417) 280-5556
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000828G | Medicaid | TX |
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All providers in Thayer, MO · Psychiatry Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.