Marvin McGowan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS012547 Issued in PA

Practice address

1152 Wood St
California, PA 15419-1260

Phone

(724) 632-6801

Fax

(724) 938-7853

NPI assigned

Nov 2, 2005

Last updated

Aug 16, 2011By the provider in NPPES

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmcgowan656467@direct.ochin.org

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.

• Centerville Clinics, Inc.

  • Family Medicine Physician
  • Fredericktown, PA
  • NPI 1801877048
  Medicare reassignment NPD
• Central Outreach Wellness Center

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1063804136
  Medicare reassignment
• Centerville Clinics, Inc

  • Specialist
  • Fredericktown, PA
  • NPI 1720339393
  NPD
• Centerville Clinics, Inc.

  • Radiologic Technologist
  • Fredericktown, PA
  • NPI 1568566867
  NPD
• Centerville Clinics, Inc.

  • Clinical Medical Laboratory
  • Fredericktown, PA
  • NPI 1811978166
  NPD
• Centerville Clinics, Inc.

  • Cardiovascular Disease Physician
  • Fredericktown, PA
  • NPI 1902887250
  NPD
• Centerville Clinics, Inc.

  • Podiatrist
  • Fredericktown, PA
  • NPI 1922089275
  NPD
• Medexpress Urgent Care, PC - Monaca

  • Urgent Care Clinic/Center
  • Monaca, PA
  • NPI 1801040092
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1851382535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 OLD NATIONAL PIKE",
            "city": "FREDERICKTOWN",
            "state": "PA",
            "postal_code": "153332114",
            "telephone_number": "724-632-6801",
            "fax_number": "724-632-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 WOOD ST",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191260",
            "telephone_number": "724-632-6801",
            "fax_number": "724-938-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012069240001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica L. Lawrence, BSW
• Alanna Leber
• Cynthia Michelle Lee, B.S.
• Randolph Aaron Magone, D.C.
• Barry E. McGlumphy, ATC
• Ronald J Messick
• Mon Vale Orthopedic Group, Inc. (The Orthopedic Group, PC)
• Thomas B. Moore Jr., B.A.
• Jeffrey L Morris
• Nino Medical Associates P.C.

• Family Medicine Physician in California, PA
• Providers in California, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.