Individual provider Active NPI

David F Cowan, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1689658155
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0038692 Issued in FL
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

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00004527OtherFLRAIL ROAD MEDICARE
30499OtherFLBLUE CROSS BLUE SHIELD
1640380OtherFLCIGNA
4017854OtherFLAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000637 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8022917376 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0038692FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Specialists of Orlando LLC Family Medicine CurrentSince Apr 29, 2012 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.

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

Verify at the official NPI Registry.