MEDICARE: LESLIE R MCGOWAN 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	208800000X	Urology Physician	MD0000014127	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	340005959	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2569882	OTHER		CIGNA
2	0063951	OTHER	TN	BCBS
3	4025446	OTHER		AETNA
4	0340	OTHER	MS	BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	81493	OTHER	AR	BCBS

General Provider Information

NPI Number	:	1710902440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE R MCGOWAN MD

Provider Business Mailing Address
First Line	:	6027 WALNUT GROVE SUITE 319
Second Line	:	THE UROLOGY GROUP PC
City	:	MEMPHIS
State	:	TN
Zip	:	38120-2128
Country	:	US
Telephone Number	:	901-767-8158
Fax Number	:	901-767-1555

Provider Business Practice Location Address
First Line	:	6027 WALNUT GROVE SUITE 319
Second Line	:	THE UROLOGY GROUP PC
City	:	MEMPHIS
State	:	TN
Zip	:	38120-2128
Country	:	US
Telephone Number	:	901-767-8158
Fax Number	:	901-767-1555

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	05/16/2008

Similar Medicare Providers

1467302380 — ENDOCRINOLOGY ASSOCIATES OF MEMPHIS
Practice Location Address:

6027 WALNUT GROVE RD STE 307
MEMPHIS, TN
38120-2128

Practice Phone: 901-681-0346
Practice Fax:

1528004314 — RAED E IMSEIS MD
Practice Location Address:

6027 WALNUT GROVE RD STE 312
MEMPHIS, TN
38120-2128

Practice Phone: 901-484-3173
Practice Fax: 901-754-8058

1598860272 — DR. GEORGE ELLIS WOODMAN MD
Practice Location Address:

6027 WALNUT GROVE RD STE 319
MEMPHIS, TN
38120-2128

Practice Phone: 901-226-3882
Practice Fax: 901-226-3883

1578874749 — DR. GALA MARKIA BARDEN M.D.
Practice Location Address:

6027 WALNUT GROVE RD STE 319
MEMPHIS, TN
38120-2128

Practice Phone: 901-226-3882
Practice Fax: 901-226-3883

1144664699 — DR. ETHAN WILKES STRANCH M.D.
Practice Location Address:

6027 WALNUT GROVE RD STE 319
MEMPHIS, TN
38120-2128

Practice Phone: 901-226-3882
Practice Fax: 901-226-3883

1306283361 — DR. DAVID MICHAEL BITTENBINDER MD
Practice Location Address:

6027 WALNUT GROVE RD STE 319
MEMPHIS, TN
38120-2128

Practice Phone: 901-226-3882
Practice Fax:

Directions to “ LESLIE R MCGOWAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.