DR. SAVANNAH GOWAN MD
NPI 1104442904
Pediatrics - Pediatric Emergency Medicine in Oklahoma City, OK

Active since June 18, 2020PECOS Enrolled
940 NE 13 STREET, GT 2300, OKLAHOMA CITY, OK 73104(405) 271-2429 Get Directions Write a Review

NPPES record last updated: July 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2023, Jun 18, 2020 (2 updates tracked since 2020).

About Dr. Savannah Gowan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAVANNAH GOWAN MD (NPI 1104442904) is an individual pediatric emergency medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (41380) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104442904
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. SAVANNAH GOWANCredential: MD
Location Address940 NE 13 STREET, GT 2300Oklahoma City, OK 73104
Mailing Address940 Ne 13 Street, Gt 2300Oklahoma City, OK 73104 · (405) 271-2429
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 18, 2020
Last NPPES UpdateJuly 1, 20232 updates tracked since enumeration
NPPES CertifiedJuly 1, 2023
NPI 1104442904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in OK · 41380
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 4351046620 (MI)
940 NE 13 STREET, Oklahoma City, OK 73104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Savannah Gowan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971071713
PECOS Enrollment IDI20260509000449
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nuclear Medicine
940 NE 13 STREET, GT 3210
OKLAHOMA CITY, OK 73104
Radiology (Diagnostic Radiology)
940 NE 13 STREET, GT 3210
OKLAHOMA CITY, OK 73104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Savannah Gowan's NPI number?

The NPI number for Savannah Gowan is 1104442904. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Savannah Gowan located?

Savannah Gowan practices at 940 NE 13 Street Gt 2300, Oklahoma City, OK 73104. The listed phone number is (405) 271-2429.

What is Savannah Gowan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Savannah Gowan enrolled in Medicare?

Yes. Savannah Gowan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Savannah Gowan was last updated on July 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.