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BOWLING GREEN DERMATOLOGY & SKIN CANCER SPECIALISTS PLLC
NPI 1609047083
Dermatology in Bowling Green, KY

Active since March 13, 2008CLIA 18D1089269 · Certificate of Compliance
1106 FAIRWAY STREET, BOWLING GREEN, KY 42103(615) 672-5953(615) 672-5953 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bowling Green Dermatology & Skin Cancer Specialists Pllc NPPES

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

BOWLING GREEN DERMATOLOGY & SKIN CANCER SPECIALISTS PLLC (NPI 1609047083) is a healthcare organization registered as a dermatology in Bowling Green, Kentucky and active in the NPI registry since March 2008. The organization holds a CLIA Certificate of Compliance certificate valid through January 8, 2027 and lists John Davis Cowan, Owner, as its authorized official.

NPPES Registry Identity

NPI1609047083
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBOWLING GREEN DERMATOLOGY & SKIN CANCER SPECIALISTS PLLC
Location Address1106 FAIRWAY STREETBowling Green, KY 42103
Mailing Address1106 Fairway StreetBowling Green, KY 42103 · (615) 672-5953 · Fax (615) 672-5953
Phone(615) 672-5953
Fax(615) 672-5953
Organization SubpartNo
Authorized OfficialJohn Davis CowanOwner · (615) 672-5953
Enumeration DateMarch 13, 2008
Last NPPES UpdateSeptember 30, 2008
✔ NPI 1609047083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in KY · 41690
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1106 FAIRWAY STREET, Bowling Green, KY 42103
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Other Identifiers 1

Medicare PIN00663KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 18D1089269

Bowling Green Dermatology & Skin Cancer Specialists Dba Cowan Dermatology · Bowling Green, KY
Active · expires Jan 8, 2027
CLIA Number18D1089269
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorDr. John D. Cowan
Laboratory Phone(270) 783-8003
Laboratory LocationBowling Green Dermatology & Skin Cancer Specialists Dba Cowan Dermatology1106 Fairway Street, Bowling Green, KY 42103
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Bowling Green Dermatology & Skin Cancer Specialists PLLC's NPI number?

The NPI number for Bowling Green Dermatology & Skin Cancer Specialists PLLC is 1609047083. It was assigned to this organization in the NPPES registry on March 13, 2008.

Where is Bowling Green Dermatology & Skin Cancer Specialists PLLC located?

Bowling Green Dermatology & Skin Cancer Specialists PLLC is located at 1106 Fairway Street, Bowling Green, KY 42103. The listed phone number is (615) 672-5953.

What is Bowling Green Dermatology & Skin Cancer Specialists PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Bowling Green Dermatology & Skin Cancer Specialists PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D1089269) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bowling Green Dermatology & Skin Cancer Specialists PLLC was last updated on September 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.