Active NPI
Phyllis Anne Cowan, DO
- Emergency Medicine Physician
- Port Angeles, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OP60732394
- Practice address
- 939 Caroline St
Port Angeles, WA 98362-3909 - Phone
- (360) 417-7724
- Fax
- (360) 452-5772
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 009915 | AZ | |
| Emergency Medicine Physician | 207P00000X | OP60732394 | WA | Primary |
Addresses
Primary practice location
939 Caroline St
Port Angeles, WA 98362-3909
Mailing address
PO Box 850
Port Angeles, WA 98362-0146
Phone (360) 417-7724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pecos County Memorial Hospital District
Practice addresses (Care Compare)
14815 Pacific Ave S
Tacoma, WA 98444-4654
Phone (253) 697-8660
387 W Ih
Suite 10
Fort Stockton, TX 79735
Phone (432) 336-2058
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611
Hospital & facility affiliations
- Multicare Good Samaritan Hospital
- Pecos County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP60732394 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyside Emergency Group a Professional LLC | Emergency Medicine | Current | Accepting new patients |
| Southwest Emergency Medical Associates of NM PC | Emergency Medicine | Current | Accepting new patients |
| Pecos County Memorial Hospital District | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of New Mexico - Clovis, LLC | Emergency Medicine | Current | Accepting new patients |
| Olney Emergency Group, a Professional LLC | Emergency Medicine | Current | Accepting new patients |
| Pecos County Memorial Hospital District | Family Medicine | Current | Accepting new patients |
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Clallam County Public Hospital District 2 | Past | Accepting new patients |
Locations
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234
387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004
914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Emergency Medicine Physician
- Parkland, WA
- NPI 1801352505
-
- Emergency Medicine Physician
- Toppenish, WA
- NPI 1386108868
-
- Emergency Medicine Physician
- Sunnyside, WA
- NPI 1033529367
-
- Emergency Medicine Physician
- Hobbs, NM
- NPI 1477031094
-
- Critical Access Hospital
- Fort Stockton, TX
- NPI 1073200309
-
- Family Medicine Physician
- Fort Stockton, TX
- NPI 1386400232
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1720505571
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
-
- Critical Access Hospital
- Fort Stockton, TX
- NPI 1073200309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1578978151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620146",
"telephone_number": "360-417-7724",
"fax_number": "360-452-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 CAROLINE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623909",
"telephone_number": "360-417-7724",
"fax_number": "360-452-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAN",
"first_name": "PHYLLIS",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "009915",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "OP60732394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.