Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 35045391M | OH |
NPI | 1013908763 |
---|---|
Provider Name | Dr. Kathleen Ann Mcgowan |
First Address | Columbus, OH 43214-3907 |
Second Address | Columbus, OH 43214-3907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 15/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000118279 | ANTHEM PIN (01) | OH |
0513457 | (05) | OH |
180001614 | RAILROAD MEDICARE PROV # (01) | OH |
1846495 | CIGNA PROVIDER NUMBER (01) | OH |
31106825200 | OHIO BWC PROV # (01) | OH |
311068252-003 | MEDICAL MUTUAL PROVIDER # (01) | OH |
3110682522001 | BCBS PROVIDER NUMBER (01) | OH |
4071068 | AETNA PROVIDER NUMBER (01) | OH |
C02512 | (02) | OH |