Active NPI
David F Cowan, MD
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1689658155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0038692
- Practice address
- 3615 S Orange Ave
Orlando
Orlando, FL 32806-6216 - Phone
- (407) 855-2526
- Fax
- (407) 855-1503
- NPI assigned
- Nov 30, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0038692 | FL | Primary |
Addresses
Primary practice location
3615 S Orange Ave
Orlando
Orlando, FL 32806-6216
Mailing address
3615 S Orange Ave
Orlando
Orlando, FL 32806-6216
Phone (407) 855-2526
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00004527 | Other | FL | RAIL ROAD MEDICARE |
| 30499 | Other | FL | BLUE CROSS BLUE SHIELD |
| 1640380 | Other | FL | CIGNA |
| 4017854 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0038692 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Specialists of Orlando LLC | Family Medicine | Current | Accepting new patients |
| Dover Shores Family Practice | Family Medicine | Current | Accepting new patients |
Locations
4711 Curry Ford Rd
Orlando, FL 32812
Phone (407) 275-9014
3615 S Orange Ave
Orlando, FL 32806
Phone (407) 855-2526
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1740559939
-
- Family Medicine Physician
- Orlando, FL
- NPI 1417683707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1689658155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 S ORANGE AVE",
"address_2": "ORLANDO",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066216",
"telephone_number": "407-855-2526",
"fax_number": "407-855-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 S ORANGE AVE",
"address_2": "ORLANDO",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066216",
"telephone_number": "407-855-2526",
"fax_number": "407-855-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAN",
"first_name": "DAVID",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0038692",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00004527",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "30499",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1640380",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4017854",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.