MR. RANDALL L OWEN (NPI# 1437591971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437591971 |
| Entity Type | Individual |
| Full Name | MR. RANDALL L OWEN |
| Credential | PA-C |
| Practice Address |
9 Washington Ave Hamden CT 06518-3267 |
| Practice Telephone | 2038656784 |
| Practice Fax Number | 2038656788 |
| Mailing Telephone | 2038656784 |
| Mailing Fax Number | 2038656788 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0110004314 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 23.003095 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | MA056252 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
23.003095 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
23.003095 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2120 L St Nw Ste 450, Washington, DC 200371541 | 2027412911 | 2027412921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518049782 | Randall P Owen | Surgery | 5 E 98th St, # 1259, Mount Sinai Medical Center--faculty Practice Associates, New York, NY 10029-6574 | 2006-10-19 |
| Street Address |
9 WASHINGTON AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216575 | Louis Iorio | Orthopaedic Surgery | 9 Washington Ave, Hamden, CT 06518-3267 | 2005-06-21 |
| 1346621612 | Sandra Byrnes | Nurse Practitioner | 9 Washington Ave, Hamden, CT 06518-3267 | 2015-06-12 |
| 1114322153 | Shahana Lee Theriault | Physician Assistant | 9 Washington Ave, Hamden, CT 06518-3267 | 2014-11-04 |
| 1598178428 | Connecticut Orthopaedic Specialists, PC | Occupational Therapist | 9 Washington Ave, Hamden, CT 06518-3267 | 2014-06-09 |
| 1770995698 | Connecticut Orthopaedic Specialists, PC | Internal Medicine | 9 Washington Ave, Hamden, CT 06518-3267 | 2014-05-27 |
| 1881005692 | Jeeten Singha | Podiatrist | 9 Washington Ave, Hamden, CT 06518 | 2014-05-14 |
| 1912286295 | Maria Rose Longobardi Hague | Physical Therapist | 9 Washington Ave, Hamden, CT 06518-3267 | 2011-08-04 |
| 1174842546 | Rachel Boyarsky | Pediatrics | 9 Washington Ave, Hamden, CT 06518-3267 | 2010-05-25 |
| 1558590349 | Krista Fiorentino Nolan | Physical Therapist | 9 Washington Ave, Hamden, CT 06518-3267 | 2009-07-14 |
| 1558505628 | Eman Saeed | Physician Assistant | 9 Washington Ave, Hamden, CT 06518-3267 | 2009-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194869719 | Bonnie Hataley | Physician Assistant | 20 Valley View Ct, Hamden, CT 06518-2751 | 2007-02-16 |
| 1609331933 | Stephen Pollani | Physician Assistant | 2165 Dixwell Ave, Hamden, CT 06514-2116 | 2019-01-31 |
| 1316311046 | Daniel Berluti | Physician Assistant | 2165 Dixwell Ave, Hamden, CT 06514-2116 | 2015-11-18 |
| 1962874792 | Eric Black | Physician Assistant | 1650 Dixwell Ave, Hamden, CT 06514-3615 | 2015-10-20 |
| 1538426804 | Israel Sk Mushi | Physician Assistant | 1684 Dixwell Ave, Hamden, CT 06514-3111 | 2012-04-11 |
| 1073787677 | Randy M Johnson | Physician Assistant | 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694 | 2008-04-15 |
| 1710069455 | Courtney Calandro | Physician Assistant | 2200 Whitney Ave, Suite 360, Hamden, CT 06518-3691 | 2006-10-20 |
| 1841386208 | Christine Ann Rowland | Physician Assistant | 2080 Whitney Ave, Suite 210, Hamden, CT 06518-3600 | 2006-10-05 |
| 1316056294 | Suzanne Robinson | Physician Assistant | 2200 Whitney Ave, Suite 100, Hamden, CT 06518-3691 | 2006-08-30 |
| 1295841617 | Sherri L O'connor | Physician Assistant | 9 Washington Ave, Hamden, CT 06518-3267 | 2006-08-21 |
| Find all providers in HAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.