JACK D OWENS (NPI# 1609952241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609952241 |
| Entity Type | Individual |
| Full Name | JACK D OWENS |
| Credential | MD |
| Practice Address |
5 River Bend Place Suite C Flowood MS 39232 |
| Mailing Address |
P O Box 320039 Flowood MS 39232 |
| Practice Telephone | 6019577345 |
| Practice Fax Number | 7692515429 |
| Mailing Telephone | 6019577345 |
| Mailing Fax Number | 7692515924 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2015-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
16764 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00121969 | 05 | |
| MS | 0121969 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013335850 | Jack Howell Owens Jr. | Psychiatry & Neurology | 1100 9th Ave, Seattle, WA 98101 | 2014-03-30 |
| 1558464685 | Jack R Owens | Nurse Anesthetist, Certified Registered | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-09-06 |
| Street Address |
5 RIVER BEND PLACE SUITE C |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538196936 | Marcy S Clarke | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2006-06-28 |
| 1922431048 | Lee Carol Jamison | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2013-08-12 |
| 1184960437 | Melissa Easley Flanagin | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2012-12-13 |
| 1154684363 | Kelli S Fewell | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2012-06-21 |
| 1275708737 | Luretha Smith | Registered Nurse | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2008-04-25 |
| 1740455138 | Jenni Brown | Registered Nurse | 5 River Bend Place, Flowood, MS 39232 | 2008-04-25 |
| 1972778421 | Cheryl Murray | Registered Nurse | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2008-04-25 |
| 1396910865 | Stacey Stanford | Registered Nurse | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2008-04-25 |
| 1558536037 | Kimberly Sheffield | Registered Nurse | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2008-04-25 |
| 1700051281 | Dawn Dearmond | Registered Nurse | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2008-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487784898 | Newborn Associates P A | Pediatrics | 5 River Bend Pl Ste C, Flowood, MS 39232-7618 | 2007-03-06 |
| 1457450058 | Mary Christina Glick | Pediatrics | 435 Katherine Drive, Suite B, Flowood, MS 39232 | 2006-09-21 |
| 1831536713 | William Ellison Smithhart | Pediatrics | 5 River Bend Pl Ste C, Flowood, MS 39232-7618 | 2013-05-31 |
| 1730236605 | Danny Boyd Mccaughan | Pediatrics | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2007-01-04 |
| 1467509331 | Patrick W O'mara | Pediatrics | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2007-01-04 |
| 1093891657 | David M Temple | Pediatrics | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2006-10-27 |
| 1235215948 | Carold Jason Miller | Pediatrics | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2006-10-27 |
| 1639255284 | Kenny K Robbins | Pediatrics | 5 River Bend Place, Flowood, MS 39232 | 2006-10-27 |
| 1104925882 | David F Wender | Pediatrics | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124104765 | Mitzi Gail Ferguson | Pediatrics | 1991 Lakeland Dr Ste C, Jackson, MS 39216-5000 | 2006-10-27 |
| 1043264872 | Praveen Kumar | Pediatrics | 2500 N. State Street, Univ of Ms Med Ctr., Newborn Medicine, Jackson, MS 39216-4505 | 2006-05-19 |
| 1891743928 | R. Alan Brinson | Pediatrics | 5003 Hardy Street, Suite 302, Hattiesburg, MS 39402 | 2006-05-04 |
| 1306806070 | Roland Leon Boyd | Pediatrics | 1730 14th St, C, Meridian, MS 39301-4140 | 2006-03-25 |
| 1235102906 | Ginger L Pole | Pediatrics | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2006-02-10 |
| 1902381189 | William Needham | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2018-10-03 |
| 1215378658 | Jennifer Anne Caldwell | Pediatrics | 4500 13th Street, Gulfport, MS 39501 | 2013-07-15 |
| 1851659353 | Renjithkumar Kalikkot Thekkeveedu | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2012-05-03 |
| 1275811168 | Parvesh Mohan Garg | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2011-07-27 |
| 1174817340 | Preeti Singh | Pediatrics | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2011-06-06 |
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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.