NPIMap

Organization Active NPI

Cowell Family Medicine, P.C.

  • Family Medicine Physician
  • Coldwater, MI
National Provider Identifier
1730216128
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101016284 Issued in MI
Legal business name
COWELL FAMILY MEDICINE, P.C.
Practice address
358 E Chicago Street
Suite 204E
Coldwater, MI 49036-2072
Phone
(517) 279-0400
Fax
(517) 279-0949
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Dr. Kevin Herbert Cowell, D.O.NPI 1699717512
Title
Owner
Phone
(517) 279-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101016284 MI Primary

Addresses

Primary practice location

358 E Chicago Street
Suite 204E
Coldwater, MI 49036-2072

Mailing address

358 E Chicago Street
Suite 204E
Coldwater, MI 49036-2072
Phone (517) 279-0400

Other identifiers 5

IdentifierTypeStateIssuer
0131390OtherMIIBA AND PHP
5101016284OtherMISTATE LICENSE NUMBER
114701167MedicaidMI
1699717512OtherMIINDIVIDUAL NPI
08-5-12-2223-4OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

358 E Chicago St
Ste 204E
Coldwater, MI 49036
Phone (517) 279-0400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1730216128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 E CHICAGO STREET",
            "address_2": "SUITE 204E",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362072",
            "telephone_number": "517-279-0400",
            "fax_number": "517-279-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E CHICAGO STREET",
            "address_2": "SUITE 204E",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362072",
            "telephone_number": "517-279-0400",
            "fax_number": "517-279-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWELL FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "COWELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-279-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBA AND PHP",
            "identifier": "0131390",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5101016284",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114701167",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1699717512",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08-5-12-2223-4",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.