Provider Demographics
NPI:1528781416
Name:MCCOWAN, BAYLEI A (PA-C)
Entity type:Individual
Prefix:MISS
First Name:BAYLEI
Middle Name:A
Last Name:MCCOWAN
Suffix:
Gender:F
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 1:1 MEDICAL PARK BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-7430
Mailing Address - Country:US
Mailing Address - Phone:423-434-6300
Mailing Address - Fax:423-434-6312
Practice Address - Street 1:27700 NORTHWEST FWY STE 360
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-8028
Practice Address - Country:US
Practice Address - Phone:346-231-6830
Practice Address - Fax:346-231-6831
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AM0700X, 363A00000X
TXPA16180363AM0700X
TN6738363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8UC471OtherXCITE SURGICAL
TX8UC491OtherBLUE STAR SURGICAL ASSISTANTS
TX8UC474OtherUS MSO
TX8UC507OtherUNIVERSAL SURGICAL ASSISTANTS
TX8UC572OtherUNIVERSAL SURGICAL PARTNERS