Individual provider Active NPI

Matthew J Cowan, PA

  • Medical Physician Assistant
  • Houlton, ME
National Provider Identifier
1437185337
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA508 Issued in ME
Practice address
22 Hartford St
Houlton, ME 04730-1844
Phone
(207) 532-3289
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA508 ME Primary

Addresses

Primary practice location

22 Hartford St
Houlton, ME 04730-1844

Mailing address

22 Hartford St
Houlton, ME 04730-1844
Phone (207) 532-3289

Other identifiers 1

IdentifierTypeStateIssuer
247700099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080313000441 ME Practitioner - Physician Assistant 4284719378 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houlton Regional HospitalGroup PAC ID 0042127946, 59 clinicians
East Grand Health Center IncGroup PAC ID 4284642950, 7 clinicians

Practice addresses (Care Compare)

20 Hartford St
Houlton, ME 04730-1859

20 Hartford St
Houlton, ME 04730-1891
Phone (207) 532-2900

201 Houlton Rd
Danforth, ME 04424-3140
Phone (207) 448-2347

Hospital & facility affiliations

  • Northern Light Home Care & Hospice Home health agency, So Portland, ME, CCN 207020
  • Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308
  • Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA508MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Jun 30, 2013 Accepting new patients
Houlton Regional Hospital CurrentSince Dec 6, 2025 Accepting new patients

Locations

201 Houlton Rd
Danforth, ME 04424
Phone (207) 448-2347

22 Hartford St
Houlton, ME 04730
Phone (207) 532-3289

22 Hartford St
Ste 2
Houlton, ME 04730
Phone (207) 532-3289

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437185337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HARTFORD ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301844",
            "telephone_number": "207-532-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HARTFORD ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301844",
            "telephone_number": "207-532-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247700099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.