NPIMap

Individual provider Active NPI

Mark Cowan, MD

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1740626183
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R73820 Issued in AZ
Practice address
925 E McDowell Rd FL 2
Phoenix, AZ 85006-2502
Phone
(602) 839-3339
Fax
(602) 839-3300
NPI assigned
May 13, 2013
Last updated
May 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R73820 AZ Primary

Addresses

Primary practice location

925 E McDowell Rd FL 2
Phoenix, AZ 85006-2502

Mailing address

925 E McDowell Rd FL 2
Phoenix, AZ 85006-2502
Phone (602) 839-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190819002628 WY Practitioner - General Surgery 9537428792 Reassigns benefits to 4 organizations
I20200309001702 ID Practitioner - General Surgery 9537428792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Lincoln County Hospital DistrictGroup PAC ID 4789580218, shared by 4 NPIs, 66 clinicians
West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians

Practice addresses (Care Compare)

10764 N US Hwy 30
Cokeville, WY 83114
Phone (307) 885-5970

110 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5852

120 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5870

164 S
5TH
Montpelier, ID 83254-1557

164 S 5TH St
Montpelier, ID 83254-1557

166 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-1110

424 Yellowstone Ave
Suite 120
Cody, WY 82414-9311
Phone (307) 578-2903

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lake County Memorial Hospital CurrentSince Apr 23, 2022 Accepting new patients
North Lincoln County Hospital District Current Accepting new patients
Cody Regional Health EMS CurrentSince Dec 24, 2020 Accepting new patients
Bear Lake County Memorial Hospital CurrentSince Apr 23, 2022 Accepting new patients
West Park Hospital District CurrentSince Dec 24, 2020 Accepting new patients
North Lincoln County Hospital District CurrentSince Jan 13, 2020 Accepting new patients
West Park Hospital District CurrentSince Dec 24, 2020 Accepting new patients

Locations

164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630

166 S 5th St
Montpelier, ID 83254
Phone (208) 847-1110

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Interoperability endpoints

  • Direct secure messaging: mcowan625027@direct.ochin.org
  • Direct secure messaging: mcowan642179@direct.ochin.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1740626183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E MCDOWELL RD FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062502",
            "telephone_number": "602-839-3339",
            "fax_number": "602-839-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E MCDOWELL RD FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062502",
            "telephone_number": "602-839-3339",
            "fax_number": "602-839-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R73820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.