Individual provider Active NPI

Anthony M McGowan, DC

  • Chiropractor
  • Eagle Lake, MN
National Provider Identifier
1871883173
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4482 Issued in MN
Practice address
213 Parkway Ave
Eagle Lake, MN 56024-7709
Phone
(507) 257-3726
Fax
(507) 257-3726
NPI assigned
Apr 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4482 MN Primary

Addresses

Primary practice location

213 Parkway Ave
Eagle Lake, MN 56024-7709

Mailing address

PO Box 153
Eagle Lake, MN 56024-0153
Phone (507) 257-3726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4482MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Naber & Associates PC Chiropractor Past Accepting new patients
Sister Rosalind Gefre Schools & Clinic of Massage Chiropractor Past Accepting new patients
Andrews Family Chiropractic Clinic PA Chiropractor PastSince Jun 1, 2004 Accepting new patients

Organizations & group practices 3

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1871883173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560240153",
            "telephone_number": "507-257-3726",
            "fax_number": "507-257-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PARKWAY AVE",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560247709",
            "telephone_number": "507-257-3726",
            "fax_number": "507-257-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.