Active NPI
Gordon C Gowans, MD
- Clinical Genetics (M.D.) Physician
- Louisville, KY
National Provider Identifier
1669450094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 36029
- Practice address
- 571 S Floyd St
#100
Louisville, KY 40202 - Phone
- (502) 852-7897
- Fax
- (502) 852-2911
- NPI assigned
- Jan 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 36029 | KY | Primary |
| Pediatrics Physician | 208000000X | 36029 | KY |
Addresses
Primary practice location
571 S Floyd St
#100
Louisville, KY 40202
Mailing address
571 S Floyd St
#100
Louisville, KY 40202
Phone (502) 852-7897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64021017 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Research Foundation Inc | Past | Accepting new patients | |
| Weisskopf Child Evaluation Center | 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.
-
- Clinical Medical Laboratory
- Louisville, KY
- NPI 1942286489
-
- Developmental - Behavioral Pediatrics Physician
- Louisville, KY
- NPI 1407024664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1669450094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 S FLOYD ST",
"address_2": "#100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40202",
"telephone_number": "502-852-7897",
"fax_number": "502-852-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 S FLOYD ST",
"address_2": "#100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40202",
"telephone_number": "502-852-7897",
"fax_number": "502-852-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOWANS",
"first_name": "GORDON",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "KY",
"license": "36029",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "36029",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64021017",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.