Organization Active NPI

Donald D McGowan, DPM

  • Podiatrist
  • South Bend, IN
National Provider Identifier
1932389244
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DONALD D MCGOWAN, DPM
Practice address
3015 Mishawaka Ave
South Bend, IN 46615-2347
Phone
(574) 288-8200
Fax
(574) 288-8226
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Donald D McGowan
Title
Owner
Phone
(574) 288-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3015 Mishawaka Ave
South Bend, IN 46615-2347

Mailing address

3015 Mishawaka Ave
South Bend, IN 46615-2347
Phone (574) 288-8200

National Provider Directory

National Provider Directory

Locations

3015 Mishawaka Ave
South Bend, IN 46615
Phone (574) 208-9116

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1932389244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 MISHAWAKA AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152347",
            "telephone_number": "574-288-8200",
            "fax_number": "574-288-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 MISHAWAKA AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152347",
            "telephone_number": "574-288-8200",
            "fax_number": "574-288-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD D MCGOWAN, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-288-8200"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.