Ian David Cowan, MD | |
11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | |
(253) 588-1711 | |
(253) 838-6418 |
Full Name | Ian David Cowan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 11315 Bridgeport Way Sw, Lakewood, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326085325 | NPI | - | NPPES |
2164CO | Other | WA | BSWA |
CO3544 | Other | WA | BSWA |
0218527 | Other | WA | LIWA |
8114563 | Medicaid | WA | |
4675CO | Other | WA | BSWA CASCADE |
0171296 | Other | WA | LIWA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00026373 (Washington) | Primary |
Entity Name | Pacific County Hospital District 2 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295708683 PECOS PAC ID: 8224939301 Enrollment ID: O20040120000991 |
Entity Name | Northwest Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
Entity Name | Sunnyside Emergency Group A Professional Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033529367 PECOS PAC ID: 0941424451 Enrollment ID: O20140623002600 |
Mailing Address | Practice Location Address |
---|---|
Ian David Cowan, MD 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180 | Ian David Cowan, MD 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 Ph: (253) 588-1711 |
Kelly A Phillips, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Emergency Dept, Lakewood, WA 98499 Phone: 253-985-8700 | |
Mrs. Tiffany C Crabb, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499 Phone: 253-582-7257 Fax: 253-582-1617 | |
Matthew M Rice, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-581-6588 | |
James Bae Lee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-944-7922 | |
Sean Thomas Baxter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-589-8700 Fax: 253-581-6588 | |
Robert William Jensen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-581-6588 | |
Michael J Larson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-838-6418 |