Individual provider Active NPI

Jacques E Cowart, PA-C

  • Medical Physician Assistant
  • New Port Richey, FL
National Provider Identifier
1538474176
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 2513 Issued in FL
Practice address
5453 Gulf Dr
Suite 3
New Port Richey, FL 34652-3903
Phone
(727) 847-2214
Fax
(727) 846-0923
NPI assigned
Aug 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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 PA 2513 FL Primary

Addresses

Primary practice location

5453 Gulf Dr
Suite 3
New Port Richey, FL 34652-3903

Mailing address

5453 Gulf Dr
Suite 3
New Port Richey, FL 34652-3903
Phone (727) 847-2214

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA 2513FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Care LLP PastSince Jul 1, 1995 Accepting new patients
Access Health Care Physicians LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1538474176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 GULF DR",
            "address_2": "SUITE 3",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523903",
            "telephone_number": "727-847-2214",
            "fax_number": "727-846-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 GULF DR",
            "address_2": "SUITE 3",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523903",
            "telephone_number": "727-847-2214",
            "fax_number": "727-846-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWART",
        "first_name": "JACQUES",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.