Active NPI
Anthony M McGowan, DC
- Chiropractor
- Eagle Lake, MN
National Provider Identifier
1871883173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4482
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4482 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
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-
- Chiropractor
- St. Paul, MN
- NPI 1649487240
-
- Chiropractor
- Papillion, NE
- NPI 1720107881
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.