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DONALD D MCGOWAN DPM NPI 1629157680


NPI Information

NPI: 1629157680
Provider Name: DONALD D MCGOWAN, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
3015 MISHAWAKA AVE
SOUTH BEND, IN
ZIP 46615
Phone: (574) 288-8200
Get Directions

Donald D Mcgowan, DPM is a podiatrist in South Bend, IN. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Donald D Mcgowan, DPM NPI is 1629157680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3015 MISHAWAKA AVE
SOUTH BEND, IN
ZIP 46615-347
Phone: (574) 288-8200
Fax: (574) 288-8226

The enumeration date for this NPI number is 11/2/2006 and was last updated on 11/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist07000684INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M300056628MEDICARE PININDIANA
2100091280AMEDICAIDINDIANA
3165630AMEDICARE ID-TYPE UNSPECIFIED
4T36901MEDICARE UPIN
50645530001MEDICARE NSCINDIANA
6000000088330OTHERINDIANAANTHEM
7M300056628OTHERINDIANAPTAN
81629157680OTHERINDIANANPI
91932389244OTHERINDIANANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.