Individual provider Active NPI

Todd D. Cowen, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Thibodaux, LA
National Provider Identifier
1649246802
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
021323 Issued in LA
Practice address
604 North Acadia Road,
Suite 100
Thibodaux, LA 70301-6712
Phone
(985) 447-9922
Fax
(985) 447-9006
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 021323 LA Primary

Addresses

Primary practice location

604 North Acadia Road,
Suite 100
Thibodaux, LA 70301-6712

Mailing address

726 N Acadia Rd
Suite 2600
Thibodaux, LA 70301-5009
Phone (985) 447-9922

Other identifiers 1

IdentifierTypeStateIssuer
1662879MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000457 LA Practitioner - Physical Medicine and Rehabilitation 4981672151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1649246802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD",
            "address_2": "SUITE 2600",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015009",
            "telephone_number": "985-447-9922",
            "fax_number": "985-447-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 NORTH ACADIA ROAD,",
            "address_2": "SUITE 100",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016712",
            "telephone_number": "985-447-9922",
            "fax_number": "985-447-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWEN",
        "first_name": "TODD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "021323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1662879",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.