Provider Demographics
NPI:1669737045
Name:COWAN, JARED R (PA-C)
Entity type:Individual
Prefix:
First Name:JARED
Middle Name:R
Last Name:COWAN
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:443 FRYE FARM RD STE 100
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2338
Mailing Address - Country:US
Mailing Address - Phone:724-532-0866
Mailing Address - Fax:724-532-0869
Practice Address - Street 1:443 FRYE FARM RD STE 100
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2338
Practice Address - Country:US
Practice Address - Phone:724-532-0866
Practice Address - Fax:724-532-0869
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2025-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA055614363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant