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JACOB MCGOWAN
NPI 1407699366
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Active since June 17, 2024PECOS Enrolled
1301 S CRISMON RD, MESA, AZ 85209(480) 373-2376 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Mcgowan NPPES

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

JACOB MCGOWAN (NPI 1407699366) is an individual student in an organized health care education/training program in Mesa, Arizona and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407699366
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB MCGOWAN
Location Address1301 S CRISMON RDMesa, AZ 85209-3767
Mailing Address1301 S Crismon RdMesa, AZ 85209-3767
Phone(480) 373-2376
Sole ProprietorNo
Enumeration DateJune 17, 2024
NPPES CertifiedJune 10, 2024
✔ NPI 1407699366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1301 S CRISMON RD, Mesa, AZ 85209
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Mcgowan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

STEWARD RADIOLOGY PHYSICIANS OF ARIZONA INC
Radiology (Diagnostic Radiology)
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 358-6100
AZ NICU GROUP PLLC
Pediatrics (Neonatal-Perinatal Medicine)
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 906-7449
JUANCHO C. DEPAOLO CRNA
Nurse Anesthetist, Certified Registered
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (800) 402-0881
VERACIAN HEALTHCARE PLC
Internal Medicine
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 275-4998
DR. WESLEY DAVID HIGH D.O
Surgery
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 358-6100
COOPER JOHNSTON D.O.
Family Medicine
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 358-6100
RESHMA PINNAMANENI DO
Student in an Organized Health Care Education/Training Program
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (863) 991-0400
SAMEEHA KHALID DO
Internal Medicine (Gastroenterology)
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 358-6100

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 Jacob Mcgowan's NPI number?

The NPI number for Jacob Mcgowan is 1407699366. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Jacob Mcgowan located?

Jacob Mcgowan practices at 1301 S Crismon Rd, Mesa, AZ 85209. The listed phone number is (480) 373-2376.

What is Jacob Mcgowan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Mcgowan enrolled in Medicare?

Yes. Jacob Mcgowan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Mcgowan was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.