Michael R Cowan, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H9459 Issued in TX

Practice address

4200 South Fwy Ste 100
Fort Worth, TX 76115-1407

Phone

(817) 750-7334

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, IL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pediatric Urgent Care Center of Fort Worth, P.a..

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1851668149

  Pediatric Emergency Medicine

  Medicare reassignment NPD Authorized official
• Patheous Medical PLLC

  • Diagnostic Radiology Physician
  • Leawood, KS
  • NPI 1366121527

  IL, TX

  Medicare reassignment NPD
• Collin Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Plano, TX
  • NPI 1912163882
  NPD (past)
• Diagnostex Consultants PLLC

  • Family Medicine Physician
  • Hurst, TX
  • NPI 1003134024
  NPD (past)
• Greater San Antonio Emergency Physicians, PA

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1134184831
  NPD (past)
• Little Spurs Pediatric Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1780673319

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1891784377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151407",
            "telephone_number": "817-750-7334",
            "fax_number": "817-910-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151407",
            "telephone_number": "817-750-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H9459",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "H9459",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H9459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137166812",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Lee Covington, ANPC
• Lilia Covio-Calzada, MED, LPC
• Cow Girl Home Care LLC
• Catherine Eliska Cowan, ARNP
• Gary Milton Cowan, M.D.
• Todd Kreig Cowan, M.D.
• Kayla Cowden, PA-C
• Keneysha Cowden, LCSW
• Christina Cowen
• Rachael Nicole Cowling, NP

• Pediatrics Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.