Provider Demographics
NPI:1568445500
Name:MCEOWN, JAMES ROBB (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBB
Last Name:MCEOWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8475 E HARTFORD DR STE 201
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5477
Mailing Address - Country:US
Mailing Address - Phone:480-591-9345
Mailing Address - Fax:
Practice Address - Street 1:6301 S MCCLINTOCK DR STE 115
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3393
Practice Address - Country:US
Practice Address - Phone:480-775-8460
Practice Address - Fax:480-775-8464
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12215207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00467103OtherRAILROAD MEDICARE
AZA1U1436OtherHEALTHNET GRP #
AZ860373636OtherHUMANA GROUP #
AZ234120Medicaid
AZ3981220OtherEVERCARE GRP #
AZ453051001OtherGROUP HEALTH GRP #
AZAZ0728670OtherBLUE CROSS BLUE SHIELD
AZ3981220OtherEVERCARE GRP #
AZ860373636OtherHUMANA GROUP #