GARY MCGOWAN (NPI# 1497715478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497715478 |
Entity Type | Individual |
Full Name | GARY MCGOWAN |
Credential | MD |
Practice Address |
2621 Grove Ave Richmond VA 23220-4308 |
Mailing Address |
Po Box 11768 Richmond VA 23230-0168 |
Practice Telephone | 8042545467 |
Practice Fax Number | 8042549898 |
Mailing Telephone | 8043534000 |
Mailing Fax Number | 8042139783 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2007-10-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
0101039727 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICARE GROUP NUMBER | C09637 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902015944 | Gary Vergil Mcgowan | Chiropractor | 210 82nd St Se, Montrose, MN 55363-8005 | 2007-05-22 |
1346650868 | Gary Mcgowan | Counselor | 933 Russell Rd Ste 93, Columbia, KY 42728-1054 | 2014-05-06 |
Street Address |
2621 GROVE AVE |
City | RICHMOND |
State | VA |
Zip Code | 23220-4308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154321388 | Michael Doran Wray | Pathology | 2621 Grove Ave, Richmond, VA 23220-4308 | 2005-07-29 |
1154964575 | Forward Pathology Solutions LLC | Pathology | 2621 Grove Ave, Richmond, VA 23220-4308 | 2019-10-18 |
1962991398 | Joeran Anna Lee | Registered Nurse | 2621 Grove Ave, Richmond, VA 23220-4308 | 2018-05-01 |
1710339361 | Catherine Reny Frank | Registered Nurse | 2621 Grove Ave, Richmond, VA 23220-4308 | 2016-07-07 |
1124489489 | James River Emergency Group, LLC | Emergency Medicine | 2621 Grove Ave, Richmond, VA 23220-4308 | 2016-03-15 |
1396118279 | Solus Emergency Physicians, LLC | Physician Assistant | 2621 Grove Ave, Richmond, VA 23220-4308 | 2015-11-02 |
1164895900 | Opportunity Emergency Physicians, LLC | Physician Assistant | 2621 Grove Ave, Richmond, VA 23220-4308 | 2015-11-02 |
1316340698 | James River Hospitalist Group, LLC | Hospitalist | 2621 Grove Ave, Richmond, VA 23220-4308 | 2014-10-01 |
1538500368 | Fall Line Emergency Physicians, LLC | Emergency Medicine | 2621 Grove Ave, Richmond, VA 23220-4308 | 2013-07-09 |
1508207333 | Hospital Based Medical Services of Virginia I PC | Emergency Medicine | 2621 Grove Ave, Richmond, VA 23220-4308 | 2013-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
Find all providers in zip 23220 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568860500 | Healthstat On-site Clinic Watlow Richmond Il | Preventive Medicine | 5710 Kenosha St, Richmond, IL 60071-9411 | 2014-12-08 |
1104263615 | Healthstat On-site Clinic/truist Richmond | Preventive Medicine | 901 E Byrd St, Richmond, VA 23219-4052 | 2013-05-24 |
1316384381 | Lisa Kurian Thanjan | Preventive Medicine | 1201 Broad Rock Blvd, Richmond, VA 23249-5910 | 2013-05-30 |
NPI | Name | Taxonomy | Address | Enumeration |
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1851902456 | Healthstat Inc Kollmorgen Rock Road | Preventive Medicine | 201 W Rock Rd, Radford, VA 24141-4026 | 2020-08-17 |
1184235707 | Healthstat Inc Rowe Elliston | Preventive Medicine | 2121 Gardner St, Elliston, VA 24087-3055 | 2020-08-17 |
1417568023 | Healthstat Inc Ronile | Preventive Medicine | 701 Orchard Ave, Rocky Mount, VA 24151-1848 | 2020-08-17 |
1174134795 | Healthstat Inc Scholle Chilhowie | Preventive Medicine | 50 Deer Valley Rd, Chilhowie, VA 24319-5484 | 2020-08-17 |
1497366009 | Healthstat Inc Rowe Salem | Preventive Medicine | 1972 Salem Industrial Dr, Salem, VA 24153-3148 | 2020-08-17 |
1003326737 | Healthstat Onsite Clinic Parkdale Plant 32-35 | Preventive Medicine | 1 Advanced Technology Dr, Hillsville, VA 24343-2701 | 2017-10-09 |
1801306659 | Healthstat Onsite Clinic Parkdale Plant 22 | Preventive Medicine | 1012 Glendale Rd, Galax, VA 24333-2504 | 2017-10-06 |
1386088466 | Healthstat On-site Clinic/pgi Waynesboro | Preventive Medicine | 1020 Shenandoah Village Dr, Waynesboro, VA 22980-9292 | 2013-04-19 |
1083958953 | Healthstat On-site Clinic/medeco | Preventive Medicine | 3625 Alleghany Dr, Salem, VA 24153-1977 | 2012-11-16 |
1083967780 | Healthstat- Banker Steel | Preventive Medicine | 1619 Wythe Rd, Lynchburg, VA 24501-3431 | 2012-10-18 |
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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.