Derick Andrew Cowans, CSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

10223 Broadway St
Suite P-284
Pearland, TX 77584-7880

Phone

(832) 248-2011

NPI assigned

Jan 27, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Derick Cowans Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Newbury Surgical Staffing

  • Surgical Assistant
  • Pearland, TX
  • NPI 1144760208
  NPD (past) Authorized official

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1508223199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 TRANQUILITY LAKE BLVD",
            "address_2": "SUITE 2311",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844658",
            "telephone_number": "832-872-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST",
            "address_2": "SUITE P-284",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847880",
            "telephone_number": "832-248-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWANS",
        "first_name": "DERICK",
        "middle_name": "ANDREW",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DERICK",
            "last_name": "COWANS",
            "credential": "CSFA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Country Place Chiropractic Health & Wellness
• Country Place Medical Center LLC
• Henry Covington
• Cow Arts Enterprises, LLC
• April Catherine Cowan, OTR, CHT
• Lauren Cox
• Angelique Craft
• Ronald Craig, RN
• Maria Crake, LCSW
• Kari Cramer, CP

• Surgical Assistant in Pearland, TX
• Providers in Pearland, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.