DERRICK GLENN OWENS


Address: 2121 Park St, Jacksonville, FL 32204-3811
Phone: 9043876200

DERRICK GLENN OWENS (NPI# 1508228248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508228248
Entity Type Individual
Full Name DERRICK GLENN OWENS
Credential M.D.
Practice Address 2121 Park St
Jacksonville
FL 32204-3811
Practice Telephone 9043876200
Mailing Telephone 9043876200
Enumeration Date 2016-03-22
Last Update Date 2019-06-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics ME140589 FL Allopathic & Osteopathic Physicians

Other Providers DERRICK OWENS

NPI Name Taxonomy Address Enumeration
1831108661 Derrick Chase Owens Family Medicine 1405 W Jefferson St, Waxahachie, TX 75165-2231 2006-08-08

Office Location

Street Address 2121 PARK ST
City JACKSONVILLE
State FL
Zip Code 32204-3811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922091156 Anne T Egan Pediatrics 2121 Park St, Jacksonville, FL 32204-3811 2005-08-23
1114365764 Michelle C Mccreary Pediatrics 2121 Park St, Jacksonville, FL 32204-3811 2013-06-05
1841547601 Leah Jones Copham Nurse Practitioner 2121 Park St, Jacksonville, FL 32204-3811 2012-08-12
1194072934 Lindsay J Wolf Nurse Practitioner 2121 Park St, Jacksonville, FL 32204-3811 2012-08-11
1790052496 Cari Elizabeth Trappe Registered Nurse 2121 Park St, Jacksonville, FL 32204-3811 2011-11-23
1184914053 Letisha Renee Brazile Jefferson Pediatrics 2121 Park St, Jacksonville, FL 32204-3811 2011-04-13
1891014916 Katherine R Mershon Nurse Practitioner 2121 Park St, Jacksonville, FL 32204-3811 2010-05-28
1346477882 Clara Chanley H Dudley Pediatrics 2121 Park St, Jacksonville, FL 32204-3811 2009-06-11
1679729263 Caroline Parker Williams Pediatrics 2121 Park St, Jacksonville, FL 32204-3811 2008-08-14
1073698213 Andreae Arey Shaw Pediatrics 2121 Park St, Jacksonville, FL 32204-3811 2006-10-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437719853 North Florida Surgeons, Pa Orthopaedic Surgery 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 2019-06-18
1770043531 Manuel Viado Rosas Physical Therapist Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 2019-03-20
1255805172 Tracie Nickole Singh Marriage & Family Therapist 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 2019-01-14
1427548544 Bold City Therapy and Wellness LLC Clinic/Center 2054 Park Street, Jacksonville, FL 32204 2018-05-14
1356883078 Lcn Enterprise, LLC Case Manager/Care Coordinator 1225 W Beaver St Ste 106, Jacksonville, FL 32204 2016-11-11
1073065082 Prosser and Prosser LLC Non-emergency Medical Transport (VAN) 2120 Ernest St, Jacksonville, FL 32204 2016-10-26
1336529817 Nader Daoud Internal Medicine 1 Shircliffway, Jacksonville, FL 32204 2015-06-01
1194119214 Benjamin James Dionne Internal Medicine 2 Shircliff Way Ste 400, Jacksonville, FL 32204 2015-03-26
1598187932 Jamara Stephens Counselor 1225 W Beaver St Ste 205, Jacksonville, FL 32204 2014-01-18
1154743961 Kathleen Jasper Nurse Anesthetist, Certified Registered 2165 Herschel Street, Jacksonville, FL 32204 2014-01-14
Find all providers in zip 32204

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396369187 Im Sulzbacher Center for The Homeless, Inc Pediatrics 5455 Springfield Blvd, Jacksonville, FL 32208-5166 2020-06-08
1609334515 Jeremy N Harris, M.d., P.a. Pediatrics 3636 University Blvd S Ste B3, Jacksonville, FL 32216-4223 2019-03-10
1851856975 Aksharbrahma Pa Pediatrics 6100 Greenland Rd Ste 301, Jacksonville, FL 32258-2626 2019-02-02
1184116972 North Florida Pediatrics, Pa Pediatrics 9770 Old Bay Meadows Road, Suite 101, Jacksonville, FL 32256-7986 2018-06-06
1235654781 Gabriella Assi, Md, LLC Pediatrics 5851 Saint Augustine Rd, Jacksonville, FL 32207-8015 2017-08-06
1417478629 Johana Beatriz Gimenez Pediatrics 15 Founders Ln Ste 100, Jacksonville, IL 62650-3924 2017-06-28
1386185932 Myrna B Ginter Pediatrics 3805 Ortega Blvd, Jacksonville, FL 32210-4415 2017-03-15
1831639400 Children's Health Associates Pediatrics 3710 Grandy Ave, Jacksonville, FL 32207-6112 2017-03-02
1770039687 Hampton Pediatrics Pa Pediatrics 11512 Lake Mead Ave Unit 201, Jacksonville, FL 32256-9688 2016-08-30
1447508478 Starfish Pediatrics Pa Pediatrics 4500 Hodges Blvd, Suite 1, Jacksonville, FL 32224-2207 2012-08-23
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32204

Improve Information

Please comment or provide details below to improve the information on DERRICK GLENN OWENS.

Dataset Information

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.

Trending Searches