MR. ROBERT GEORGE OWENS (NPI# 1538352935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538352935 |
| Entity Type | Individual |
| Full Name | MR. ROBERT GEORGE OWENS |
| Credential | MA |
| Practice Address |
2653 Statdust Trail Verona WI 53593-9714 |
| Mailing Address |
2653 Stardust Trail Verona WI 53593-9714 |
| Practice Telephone | 6088455821 |
| Practice Fax Number | 6088453364 |
| Mailing Telephone | 6098455821 |
| Mailing Fax Number | 6088453364 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 90 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39070000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114588910 | Robert Channing Owens | Counselor | 7547 S Wolcott Ave, Chicago, IL 60620-5206 | 2019-06-24 |
| 1164884037 | Robert Dane Owens | Chiropractor | 27 W Main St Ste A, Santaquin, UT 84655-5641 | 2016-03-22 |
| 1184998981 | Robert M Owens | Dentist | 642 S Pearson Rd, Pearl, MS 39208-5907 | 2012-02-27 |
| 1245307685 | Robert Thomas Owens | Chiropractor | 8565 N Main St, Eden, NY 14057-1230 | 2006-11-29 |
| 1528137650 | Robert Gregory Owens | Obstetrics & Gynecology | 7162 Liberty Centre Drive, Suite B, West Chester, OH 45069-2748 | 2006-11-06 |
| 1639199359 | Robert Walter Owens | Dentist | 8045 S 700 E, Suite #5, Sandy, UT 84070-0534 | 2006-07-19 |
| 1598707481 | Robert C Owens | Internal Medicine | 8124 S Cottage Grove Ave, Chicago, IL 60619-5104 | 2006-06-12 |
| 1194792739 | Robert M Owens | Otolaryngology | 6509 W Plano Pkwy, Plano, TX 75093-8209 | 2006-03-02 |
| 1538169065 | Robert Carl Owens | Internal Medicine | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2005-07-27 |
| 1871599068 | Robert L Owens II | Optometrist | 654 E Main St, New Holland, PA 17557-1410 | 2005-06-22 |
| Street Address |
2653 STATDUST TRAIL |
| City | VERONA |
| State | WI |
| Zip Code | 53593-9714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609385467 | Tracy D. Pollack | Physical Therapist | 1049 North Edge Trail, Verona, WI 53593 | 2017-09-25 |
| 1851748115 | Jonna L Bier | Physical Therapy Assistant | 1049 N. Edge Trail, Verona, WI 53593 | 2016-05-17 |
| 1730451162 | Ultimate Performance Therapy, LLC | Physical Therapist | 403 Venture Ct, Suite 2, Verona, WI 53593 | 2012-02-01 |
| 1417246372 | Hammes Family Chiropractic LLC | Chiropractor | 1029 North Edge Trail, Verona, WI 53593 | 2011-03-31 |
| 1457678120 | Danielle Marie Waite | Licensed Practical Nurse | 606 Green Meadow Dr., Verona, WI 53593 | 2010-04-21 |
| 1316113418 | Linda T Hofstetter | Occupational Therapist | 720 Arbor Vitae Pl, Verona, WI 53593 | 2008-05-08 |
| 1902070758 | Judith F. Koeppl | Counselor | 4123 Monona Drive, Madison, WI 53593 | 2008-04-14 |
| 1881885408 | Carolyn J Moynihan | Marriage & Family Therapist | 8283 N Riley Rd, Verona, WI 53593 | 2007-08-08 |
| 1194810515 | Selma Herbst | Social Worker | 3657 Vickiann St, Verona, WI 53593 | 2006-10-03 |
| 1295830529 | Daniel Joseph Wadzinski | Dentist | 109 East Verona Avenue, Verona, WI 53593 | 2006-09-13 |
| Find all providers in zip 53593 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942389721 | William Andrew Merrick | Clinical Neuropsychologist | 1043 Tamarack Way, Verona, WI 53593-2101 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578023156 | Midway Clinical Neuropsychologic Institute and Children's Wellness Fou | Clinical Neuropsychologist | 1024 60th Street, Suite 5, Kenosha, WI 53140-4099 | 2019-03-21 |
| 1114449949 | Tobias D Kaemmerer | Clinical Neuropsychologist | 2901 W Kinnickinnic River Pkwy Ste 417, Milwaukee, WI 53215-3660 | 2017-07-13 |
| 1972989804 | Anne L Shandera-ochsner | Clinical Neuropsychologist | 212 11th Street, La Crosse, WI 54601 | 2015-08-03 |
| 1891054441 | Mary Christine Majors | Clinical Neuropsychologist | 625 Wildlife Dr, Fond Du Lac, WI 54937-7708 | 2012-05-16 |
| 1821360199 | Tiffany M Jacobsen | Clinical Neuropsychologist | 2448 S 102nd St Ste 270, Milwaukee, WI 53227-2147 | 2012-02-02 |
| 1861625220 | Rebecca L Torres | Clinical Neuropsychologist | 721 American Ave Ste 406, Waukesha, WI 53188-5071 | 2009-09-01 |
| 1336319979 | Shellie Dee Locke | Clinical Neuropsychologist | 9020 15th Ave, Kenosha, WI 53143-6803 | 2008-03-11 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| 1821201930 | Bonita P Klein-tasman | Clinical Neuropsychologist | 2441 E Hartford Ave, Garland 210, Milwaukee, WI 53211-3160 | 2007-05-07 |
| 1659598746 | Christopher Paul Wiebusch | Clinical Neuropsychologist | N27w23953 Paul Rd, Ste. 206, Pewaukee, WI 53072-6242 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
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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.