Active NPI
Melissa Jean Gowans, M.D.
- Pediatrics Physician
- Lewiston, ME
National Provider Identifier
1902851926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD21795
- Practice address
- 33 Mollison Way
Lewiston, ME 04240-5805 - Phone
- (207) 784-5782
- Fax
- (207) 786-5756
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD21795 | ME | Primary |
Addresses
Primary practice location
33 Mollison Way
Lewiston, ME 04240-5805
Mailing address
33 Mollison Way
Lewiston, ME 04240-5805
Phone (207) 784-5782
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162CN | Other | NC | BCBSNC |
| 5917112 | Medicaid | NC | |
| 200386620B | Medicaid | KS | |
| TL3125 | Other | WY | WYOMING BOARD OF MEDICINE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21795 | ME | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Lewiston P.a. | Pediatrics | Current | Accepting new patients |
| Pediatric Associates of Whidbey Island, PS | Pediatrics | Past | Accepting new patients |
| Whidbey Island Public Hospital District | Past | Accepting new patients |
Locations
33 Mollison Way
Lewiston, ME 04240
Phone (207) 784-5782
Interoperability endpoints
- melissagowans@palpa.allscriptsdirect.net
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.
-
- Pediatrics Physician
- Lewiston, ME
- NPI 1184709495
-
- Pediatrics Physician
- Oak Harbor, WA
- NPI 1770700072
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1710927231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902851926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 MOLLISON WAY",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405805",
"telephone_number": "207-784-5782",
"fax_number": "207-786-5756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MOLLISON WAY",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405805",
"telephone_number": "207-784-5782",
"fax_number": "207-786-5756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOWANS",
"first_name": "MELISSA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "MD21795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "162CN",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5917112",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200386620B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WYOMING BOARD OF MEDICINE",
"identifier": "TL3125",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.