| Charles Richardson Cowap, MD | |
|
14519 Detroit Ave, Lakewood, OH 44107-4316 | |
| (216) 521-4200 | |
| Not Available |
| Full Name | Charles Richardson Cowap |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 14519 Detroit Ave, Lakewood, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265489926 | NPI | - | NPPES |
| 000000380937 | Other | OH | ANTHEM BC/BS |
| 2373239 | Medicaid | OH | |
| 341542312098 | Other | OH | CARESOURCE |
| 378646 | Other | OH | WELLCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35081096C (Ohio) | Primary |
| 207Q00000X | Family Medicine | 35081096 (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Richardson Cowap, MD 16616 Aldersyde Dr, Shaker Hts, OH 44120-2514 Ph: () - | Charles Richardson Cowap, MD 14519 Detroit Ave, Lakewood, OH 44107-4316 Ph: (216) 521-4200 |
Steven Carl Blaha, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Richard Arnold Nelson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14519 Detroit Avenue, Lakewood, OH 44107 Phone: 216-521-4200 | |
Otis Mark Hastings, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Brandon John Parker, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Virginia Ann Evans, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 |