DIANE L MCGOWAN (NPI# 1801822978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801822978 |
| Entity Type | Individual |
| Full Name | DIANE L MCGOWAN |
| Credential | M.D. |
| Practice Address |
Clark-holder Clinic, P.a. 303 Smith Street Lagrange GA 30240 |
| Practice Telephone | 7068828831 |
| Practice Fax Number | 7068124091 |
| Mailing Telephone | 7068828831 |
| Mailing Fax Number | 7068124091 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Y00000X | Otolaryngology | 29049 | GA | Allopathic & Osteopathic Physicians |
| X | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
29040 | GA | Allopathic & Osteopathic Physicians |
| X | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
29049 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033271648 | Diane Mcgowan | Psychologist | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2006-12-14 |
| Street Address |
CLARK-HOLDER CLINIC, P.A. 303 SMITH STREET |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205871233 | Shih Yin Anna Kao | Ophthalmology | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-16 |
| 1487682373 | Clark-holder Clinic, P.a. | Family Medicine | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-29 |
| 1629014907 | Kevin R Ward | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-22 |
| 1972549269 | Mary Katherine Williams | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-22 |
| 1932145125 | Tracy W. Flory | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-22 |
| 1649216839 | Nancy H Perry | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-22 |
| 1508802166 | Serena M Coulombe | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-21 |
| 1780620344 | Marlis J Dunlap | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-21 |
| 1831135987 | James P Mcgowan | Internal Medicine | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-20 |
| 1447295696 | Lawrence N Gynther | Internal Medicine | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598861692 | James Keating Jones | Otolaryngology | 1555 Doctors Drive, Ste 101, Lagrange, GA 30240 | 2006-09-15 |
| 1043341043 | Shawn Bell Mathews | Otolaryngology | 300 Medical Dr Ste 705, Lagrange, GA 30240-4130 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402714 | Top Dog Solutions LLC | Otolaryngology | 4295 Interstate Dr Ste B, Macon, GA 31210-6815 | 2020-09-17 |
| 1164076600 | Oglethorpe Ear, Nose & Throat, LLC | Otolaryngology | 219 West Boggs Street, Lexington, GA 30648 | 2019-08-01 |
| 1154822971 | Coastal Ear, Nose & Throat | Otolaryngology | 200 Blue Moon Xing Ste 103, Pooler, GA 31322-9698 | 2018-02-27 |
| 1376928069 | Wiley A. Parker M.d PC | Otolaryngology | 5669 Peachtree Dunwoody Ste 295, Atlanta, GA 30342-1719 | 2015-07-23 |
| 1871970210 | North Atlanta Ear Nose & Throat PC | Otolaryngology | 4150 Deputy Bill Cantrell Memorial Dr., Suite 260, Cumming, GA 30040 | 2015-05-06 |
| 1235516741 | Alicia Bernstein | Otolaryngology | 3400c Old Milton Pkwy Ste 365, Alpharetta, GA 30005-4438 | 2015-05-04 |
| 1730576638 | Mark Arnold | Otolaryngology | 550 Peachtree St Ne Ste 1135550, Atlanta, GA 30308-2247 | 2015-04-20 |
| 1851789580 | William Lawrence Nicholson | Otolaryngology | 360 W 37th St, Sea Island, GA 31561-9748 | 2015-01-05 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1922413343 | Colin Wyatt Fuller | Otolaryngology | 1120 Fifteenth St, Bp-4109, Augusta, GA 30912 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIANE L MCGOWAN.
| 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.