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1497710388

NPI Code Detail

MEDICARE: JAY S COWEN MD

MEDICARE: JAY S COWEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD044182L	PA
2	207RP1001X	Pulmonary Disease Physician	036100737	IL
3	208M00000X	Hospitalist Physician	11467514-1205	UT
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	11467514-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036100737	OTHER	IL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0695176000	OTHER	PA	INDEPENDENCE BLUE CROSS
4	30019159	OTHER	PA	KEYSTONE MERCY
5	752958	OTHER	PA	HIGHMARK BLUE SHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	145793001	OTHER	PA	AMERICHOICE
8	34928MD044182L	OTHER	PA	HEALTH PARTNERS

General Provider Information

NPI Number	:	1497710388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY S COWEN MD

Provider Business Mailing Address
First Line	:	DEPT 4392
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60122-0001
Country	:	US
Telephone Number	:	866-540-5303
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 W 800 N
Second Line	:
City	:	OREM
State	:	UT
Zip	:	84057-3660
Country	:	US
Telephone Number	:	801-783-5011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	11/09/2020

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Directions to “ JAY S COWEN MD” Practice Location

Language	Start Address	Practice Location

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