Randy Gene Cowart, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036-085906 Issued in IL

Practice address

1350 Cedar CT
Carbondale, IL 62901-5336

Phone

(618) 529-2955

Fax

(618) 457-7823

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rcowart@yourcarecommunity.org

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.

• Fresenius Medical Care Koke Mill, LLC

  dba Fresenius Kidney Care Springfield Koke Mill Home

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Springfield, IL
  • NPI 1598212177
  NPD (past)
• The Carbondale Clinic DME

  • Durable Medical Equipment & Medical Supplies
  • Carbondale, IL
  • NPI 1952467532
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1780682732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CEDAR CT",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015336",
            "telephone_number": "618-529-2955",
            "fax_number": "618-457-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CEDAR CT",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015336",
            "telephone_number": "618-529-2955",
            "fax_number": "618-457-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWART",
        "first_name": "RANDY",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-085906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36-085906",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Laubhan Cornett, P.T.
• Alejandra Q Corona, LSW
• Michelle Corzine, APRN
• Danna P Cotner, DMD
• Destiny Rose Coty, LSW
• Kennon Cox, OD
• Cassi Lyn Cozart, PHARMD
• Crabtree and Merriman Dctrs of Optometry (Jacobs & Crabtree Dctrs of Optometry)
• Crystal Lynn Crabtree
• Justin D Craft, CRNA

• Nephrology Physician in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.