Individual provider Active NPI

Charles Hammond McGowen, MD

  • Internal Medicine Physician
  • Warren, OH
National Provider Identifier
1437399326
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.025084 Issued in OH
Practice address
90 Oak Tree LN SE
Warren, OH 44484-5611
Phone
(330) 609-7296
Fax
(330) 856-2043
NPI assigned
Mar 5, 2009
Last updated
Mar 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.025084 OH Primary

Addresses

Primary practice location

90 Oak Tree LN SE
Warren, OH 44484-5611

Mailing address

90 Oak Tree LN SE
Warren, OH 44484-5611
Phone (330) 609-7296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140128001847 OH Practitioner - Internal Medicine 8426287111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1390 S Arch Ave
Alliance, OH 44601-4111
Phone (330) 821-3961

175 E Broad St
Newton Falls, OH 44444-1708
Phone (330) 872-2010

1977 Niles Rd SE
Warren, OH 44484-5118
Phone (330) 393-6446

716 Tod Ave SW
Warren, OH 44485-3608
Phone (330) 373-0222

726 Wick Ave
Youngstown, OH 44505-2827
Phone 330747955177182

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio North East Health Systems Inc CurrentSince Feb 28, 2014 Accepting new patients
Ohio North East Health Systems, Inc. Internal Medicine CurrentSince Feb 28, 2014 Accepting new patients

Locations

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

Interoperability endpoints

  • Direct secure messaging: mcgowen.charles@onehealth.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1437399326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 OAK TREE LN SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845611",
            "telephone_number": "330-609-7296",
            "fax_number": "330-856-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 OAK TREE LN SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845611",
            "telephone_number": "330-609-7296",
            "fax_number": "330-856-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWEN",
        "first_name": "CHARLES",
        "middle_name": "HAMMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.025084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.