Provider Demographics
NPI:1871537985
Name:COWLBECK, CARY E (PA-C)
Entity type:Individual
Prefix:MS
First Name:CARY
Middle Name:E
Last Name:COWLBECK
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 BEAUFONT SPRINGS DR STE 205
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5504
Mailing Address - Country:US
Mailing Address - Phone:804-272-0114
Mailing Address - Fax:
Practice Address - Street 1:7401 BEAUFONT SPRINGS DR STE 205
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-5504
Practice Address - Country:US
Practice Address - Phone:804-272-0114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110001388363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA32186OtherSH CARENET
VA0900347OtherUNITED HEALTHCARE
VA540885859OtherCORVEL
VA540885859OtherFIRST HEALTH/CCN
VA540885859OtherVIRGINIA HEALTH NETWORK
VA970027195OtherRAILROAD MEDICARE
VA008939969Medicaid
VA0536821OtherAETNA HMO
VA285564OtherSOUTHERN HEALTH
VA540885859OtherC&O EMPLOYEE'S HEALTHCARE
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA540885859OtherMULTIPLAN
VA540885859OtherCOMPMANAGEMENT
VA540885859OtherCIGNA
VA540885859OtherFOCUS
VA56197POtherOPTIMA HEALTH
VA68541OtherANTHEM HEALTHKEEPERS
VA285564OtherSOUTHERN HEALTH
VA540885859OtherCIGNA
VA540885859OtherCORVEL