Individual provider Active NPI

David Felix Sowada, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rock Springs, WY
National Provider Identifier
1437144532
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2529A Issued in WY
Practice address
413 Agate St
Rock Springs, WY 82901-6704
Phone
(307) 382-0614
Fax
(307) 382-0614
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2529A WY Primary

Addresses

Primary practice location

413 Agate St
Rock Springs, WY 82901-6704

Mailing address

413 Agate St
Rock Springs, WY 82901-6704
Phone (307) 382-0614

Other identifiers 1

IdentifierTypeStateIssuer
304685OtherWYBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437144532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 AGATE ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016704",
            "telephone_number": "307-382-0614",
            "fax_number": "307-382-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 AGATE ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016704",
            "telephone_number": "307-382-0614",
            "fax_number": "307-382-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWADA",
        "first_name": "DAVID",
        "middle_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WY",
            "license": "2529A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "304685",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.