Jozia Coleen McGowan, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MO2012035077 Issued in MO

Practice address

5844 NW Barry Rd
Ste 270
Kansas City, MO 64154-1465

Phone

(816) 880-2600

Fax

(816) 880-2640

NPI assigned

May 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jozia Coleen Lutackas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Saint Luke'S Physician Group Inc

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1518192467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD",
            "address_2": "STE 270",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541465",
            "telephone_number": "816-880-2600",
            "fax_number": "816-880-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD",
            "address_2": "STE 270",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541465",
            "telephone_number": "816-880-2600",
            "fax_number": "816-880-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "JOZIA",
        "middle_name": "COLEEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101018158",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MO2012035077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOZIA",
            "last_name": "LUTACKAS",
            "middle_name": "COLEEN",
            "credential": "D.O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosemarie McGonigle
• Tara Catherine McGovern, PT
• Janice K McGovney, M.D.
• Kevin David McGovney
• Braden Kirk McGowan, DC
• Angela McGowen
• Kristi McGowin, NP
• Megan Marie McGown, MS, RN, CPNP
• Erin McGrath, NP
• Gloria McGrath

• Internal Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.