Active NPI
Robin Delaine McGowan, PA-C
- Physician Assistant
- Fort Lewis, WA
National Provider Identifier
1609909092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAO6625
- Practice address
- 547TH Med Co
Fort Lewis, WA 98433 - Phone
- (253) 966-8398
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAO6625 | TX | Primary |
Addresses
Primary practice location
547TH Med Co
Fort Lewis, WA 98433
Mailing address
7709 Bretherton Ave NE
Lacey, WA 98516-6286
Phone (360) 459-2876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
607 NE Grand Ave
Portland, OR 97232-2728
Phone (503) 684-8252
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.17 of 100
- Improvement activities
- 40
- Cost
- 78.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAO6625 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zoomcare Urgent Care LLC | Current | Accepting new patients | |
| Texas Em-I Medical Services PA | Physician Assistant | Current | Accepting new patients |
| Victoria Emergency Partners LLC | Current | Accepting new patients | |
| Texas Urgent Care-Southwest | Past | Accepting new patients | |
| Texas Urgent Care | Past | Accepting new patients | |
| Singleton Associates PA | Physician Assistant | Past | Accepting new patients |
Locations
607 NE Grand Ave
Portland, OR 97232
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
200 Blossom St
Webster, TX 77598
Phone (281) 252-7000
Interoperability endpoints
- robin.mcgowan.1@30646.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Urgent Care Clinic/Center
- Lake Oswego, OR
- NPI 1376225813
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1164770996
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1629347505
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- Emergency Medicine Physician
- Angleton, TX
- NPI 1437334414
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1942728019
-
- Emergency Medicine Physician
- Galveston, TX
- NPI 1447598842
Physician Assistant
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Physician Assistant
-
- Exclusive Provider Organization
- Houston, TX
- NPI 1477618882
-
- Health Maintenance Organization
- Houston, TX
- NPI 1437202140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1609909092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 BRETHERTON AVE NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985166286",
"telephone_number": "360-459-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547TH MED CO",
"city": "FORT LEWIS",
"state": "WA",
"postal_code": "98433",
"telephone_number": "253-966-8398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "ROBIN",
"middle_name": "DELAINE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PAO6625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lewis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.