DR. GREGORY MICHAEL COWAN (NPI# 1164756904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164756904 |
| Entity Type | Individual |
| Full Name | DR. GREGORY MICHAEL COWAN |
| Credential | M.D. |
| Practice Address |
9145 W Thunderbird Rd Ste 101 Peoria AZ 85381-4820 |
| Practice Telephone | 6238157800 |
| Practice Fax Number | 6238157900 |
| Mailing Telephone | 6238157800 |
| Mailing Fax Number | 6238157900 |
| Enumeration Date | 2009-09-27 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | ME110800 | FL | Allopathic & Osteopathic Physicians |
| Y | 207K00000X | Allergy & Immunology | 48556 | AZ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 48556 | AZ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ME110800 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003990800 | 05 | |
| AZ | 935585 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679639140 | Gregory Robert Cowan | Counselor | 413 High St, Fall River, MA 02720-3306 | 2006-12-29 |
| 1154417723 | Gregory Cowan | Chiropractor | 108 East Main Street, Mt. Sterling, IL 62353-1326 | 2006-10-04 |
| 1275640716 | Gregory Cowan | Ophthalmology | 4277 Hempstead Tpke, 109, Bethpage, NY 11714 | 2006-08-23 |
| 1235166828 | Gregory S Cowan | Psychologist | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2006-06-27 |
| Street Address |
9145 W THUNDERBIRD RD STE 101 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063077006 | Dana K Nold | Nurse Practitioner | 9145 W Thunderbird Rd Ste 101, Peoria, AZ 85381-4820 | 2019-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154442820 | Robert Howard Stine | Allergy & Immunology | 2514 W Scenic Drive, Peoria, IL 61615 | 2007-04-02 |
| 1851382550 | Mark Everett Rose | Allergy & Immunology | 13965 N 75th Ave, Peoria, AZ 85381-6097 | 2005-11-02 |
| 1154312858 | Kevin M Boesel | Allergy & Immunology | 13965 N. 75th Avenue, Peoria, AZ 85381-6097 | 2005-11-02 |
| 1558358911 | Penelope A Ewbank | Allergy & Immunology | 6615 N Big Hollow Rd, Peoria, IL 61615 | 2005-09-30 |
| 1518963115 | Peter M Freedman | Allergy & Immunology | 11361 N 99th Ave, Ste 201, Peoria, AZ 85345-5487 | 2005-06-28 |
| 1407016348 | Ronald Joseph Mittel Jr. | Allergy & Immunology | 13965 N 75th Ave, Peoria, AZ 85381-6097 | 2008-06-13 |
| 1033201074 | Christine M Pratt | Allergy & Immunology | 13965 N. 75th Avenue, Peoria, AZ 85381-6097 | 2006-09-28 |
| 1659473197 | Levente Edward Erdos | Allergy & Immunology | 13965 N. 75th Avenue, Peoria, AZ 85381-6097 | 2006-09-04 |
| 1740236298 | Eiza L Ching | Allergy & Immunology | 13965 N. 75th Avenue, Peoria, AZ 85381-6097 | 2006-05-26 |
| 1306898846 | Ryan Matthew Casper | Allergy & Immunology | 13965 N. 75th Avenue, Peoria, AZ 85381-6097 | 2006-05-16 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.