Active NPI
Gary McGowan, MD
- Preventive Medicine/Occupational Environmental Medicine Physician
- Richmond, VA
National Provider Identifier
1497715478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 0101039727
- Practice address
- 2621 Grove Ave
Richmond, VA 23220-4308 - Phone
- (804) 254-5467
- Fax
- (804) 254-9898
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 0101039727 | VA | Primary |
Addresses
Primary practice location
2621 Grove Ave
Richmond, VA 23220-4308
Mailing address
PO Box 11768
Richmond, VA 23230-0168
Phone (804) 353-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09637 | Other | MEDICARE GROUP NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101039727 | VA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Emergency Physicians LLP | Past | Accepting new patients | |
| Central Virginia Occuhealth, P.C. | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Past | Accepting new patients |
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1497715478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11768",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232300168",
"telephone_number": "804-353-4000",
"fax_number": "804-213-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 GROVE AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232204308",
"telephone_number": "804-254-5467",
"fax_number": "804-254-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "GARY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "VA",
"license": "0101039727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "C09637",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.