DR. OWEN JOHNSON (NPI# 1598867038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598867038 |
| Entity Type | Individual |
| Full Name | DR. OWEN JOHNSON |
| Practice Address |
1650 Cochrane Cir Fort Carson CO 80913 |
| Mailing Address |
3824 Cedar Springs Rd #801-14364 Dallas TX 75219-4136 |
| Practice Telephone | 7195262092 |
| Mailing Telephone | 9158385903 |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 0101239663 | VA | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
0101239663 | VA | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
D79127 | MD | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | D79127 | MD | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0101239663 | VA | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
D79127 | MD | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 0101239663 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15791 Beau Ridge Dr, Woodbridge, VA 221931088 | 9153076049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063832079 | Owen Johnson | Internal Medicine | 3118 Barry Trace Ct, Dublin, OH 43017-2212 | 2014-04-17 |
| 1003037235 | Owen W Johnson | Pharmacist | 4445 N. Nathan Lane, Plymouth, MN 55442 | 2007-05-02 |
| 1346292059 | Owen Cannon Johnson | Optometrist | 302 Church St, A, Georgetown, SC 29440-2406 | 2006-05-17 |
| 1154733988 | Owen Johnson | Dentist | 1048 Union St, Bangor, ME 04401-3016 | 2014-05-28 |
| 1255426722 | Owen W. Johnson | Dentist | 203 Park Ave, Pine River, MN 56474 | 2006-10-03 |
| Street Address |
1650 COCHRANE CIR |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899780 | Jonathan Tyler Froshaug | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1841809837 | Andrew Finn | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1750999512 | Vimarys Leiwalo | Nurse Anesthetist, Certified Registered | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-17 |
| 1184263683 | John Rising | Pharmacist | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-12-31 |
| 1215595665 | Jonathan Maten | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1053979401 | Daniel Matthes | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1114585569 | Adam Clements | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1619532520 | Savanna Ann Klippel | Nurse Practitioner | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-06 |
| 1689139057 | John Nunn | Family Medicine | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-02-09 |
| 1326512781 | Joshua Hickman | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316304942 | Mitchell Lopacki | General Practice | 1650 Cochrane Cir Bldg 7500, Fort Carson, CO 80913-4613 | 2016-01-27 |
| 1558787747 | Heung Noh | General Practice | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2014-03-11 |
| 1003159146 | Gaelen Royce Horne | General Practice | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2013-03-27 |
| 1396002259 | Loren E Tross | General Practice | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2012-04-17 |
| 1972879880 | Natasha J Pyzocha | General Practice | 1650 Cochrane Circle, Evans Army Community Hospital, Fort Carson, CO 80913 | 2012-03-25 |
| 1477848539 | Eugene Kim | General Practice | 1650 Cochrane Cir, 1650 Cochrane Circle, Fort Carson, CO 80913-4604 | 2011-06-16 |
| 1477847333 | Laura Stockwell | General Practice | 1650 Cochrane Cir, Evans Army Community Hospital, Fort Carson, CO 80913-4613 | 2011-06-07 |
| 1326331521 | Anil Joseph Kulangara | General Practice | 1650 Cochrane Cir, Evans Army Community Hospital, Fort Carson, CO 80913-4604 | 2011-05-20 |
| 1750674313 | Ryan Vetor | General Practice | 1650 Cochrane Cir, Evans Army Community Hospital, Internal Medicine, Fort Carson, CO 80913-4613 | 2011-05-16 |
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|---|---|---|---|---|
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| 1316569387 | Poudre Valley Medical Group, LLC | General Practice | 4050 Briargate Pkwy Fl 4, Colorado Springs, CO 80920-7815 | 2020-05-13 |
| 1407478456 | Poudre Valley Medical Group, LLC | General Practice | 2500 Rocky Mountain Ave # F1016j, Loveland, CO 80538-9004 | 2020-05-13 |
| 1386263044 | Poudre Valley Medical Group, LLC | General Practice | 3800 Wilson Ave, Loveland, CO 80538-2075 | 2020-04-13 |
| 1932728706 | Poudre Valley Medical Group, LLC | General Practice | 256 W Mountain Ave, Fort Collins, CO 80521-2711 | 2020-04-13 |
| 1023637915 | Poudre Valley Medical Group, LLC | General Practice | 1041 Woodward Way, Fort Collins, CO 80524-3468 | 2020-04-11 |
| 1710516950 | Poudre Valley Medical Group, LLC | General Practice | 4380 Ziegler Rd, Fort Collins, CO 80525-9631 | 2020-04-08 |
| 1689208035 | Balance Wellspace LLC | General Practice | 125 Rampart Way Ste 300, Denver, CO 80230-6429 | 2020-02-25 |
| 1215584321 | Belleview Spince and Wellnces Cos LLC | General Practice | 1257 Lake Plaza Dr Ste 105, Colorado Springs, CO 80906-7300 | 2019-08-22 |
| 1497307771 | Pamela Raring Mclaughlin | General Practice | 2275 Homestead Dr, Grand Junction, CO 81505-8306 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
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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.