ELISABETH MCGOWAN (NPI# 1528155074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528155074 |
| Entity Type | Individual |
| Full Name | ELISABETH MCGOWAN |
| Credential | MD |
| Practice Address |
101 Dudley St Providence RI 02905-2401 |
| Practice Telephone | 4012741100 |
| Mailing Telephone | 4012741100 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
LP00656 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
101 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613244 | Martin Keszler | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2005-07-20 |
| 1326647959 | Deborah Ruth Shaffer | Advanced Practice Midwife | 101 Dudley St, Providence, RI 02905-2401 | 2020-10-24 |
| 1104449891 | Women & Infants Hospital of Rhode Island | Clinical Medical Laboratory | 101 Dudley St, Providence, RI 02905-2401 | 2020-05-28 |
| 1235751959 | Katherine Mariah Crawford | Genetic Counselor, MS | 101 Dudley St, Providence, RI 02905-2401 | 2020-05-15 |
| 1265061089 | Cassie Laurine Hobbs | Student in an Organized Health Care Education/Training Program | 101 Dudley St, Providence, RI 02905-2401 | 2020-04-03 |
| 1336776343 | Ogechukwu Francisca Uwanaka | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-27 |
| 1841827193 | Patricia Giglio Ayers | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-26 |
| 1205463783 | Alicia Marina Youssef | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-25 |
| 1912534330 | Alicia Esther Hersey | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-25 |
| 1932736220 | Allan Bo Huang | Student in an Organized Health Care Education/Training Program | 101 Dudley St, Providence, RI 02905-2499 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366625733 | Ross Sommers | Pediatrics | 14 Taft Ave, Providence, RI 02906-3406 | 2007-12-09 |
| 1083613244 | Martin Keszler | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2005-07-20 |
| 1174924070 | Jenna Mennella | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2014-09-10 |
| 1427204429 | Nisreen Sarhan Maari | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2008-08-11 |
| 1609085935 | Adam James Czynski | Pediatrics | 101 Dudley Street, Providence, RI 02905 | 2007-05-22 |
| 1558458067 | Vlad Ianus | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2006-10-06 |
| 1871515031 | Joseph Bliss | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2006-07-24 |
| 1215956420 | Betty Vohr | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2006-07-19 |
| 1700802675 | William Oh | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2006-07-14 |
| 1497771752 | Joseph Mcnamara | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2006-07-13 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.