DR. JORDAN MICHAEL OWENS (NPI# 1659613990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659613990 |
| Entity Type | Individual |
| Full Name | DR. JORDAN MICHAEL OWENS |
| Credential | M.D. |
| Practice Address |
520 Douglas Blvd Tyler TX 75702 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9036061721 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2019-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R8450 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 388263103 | 05 | |
| TX | MEDICARE | 728055 | 01 |
| TX | BCBS | 8KE616 | 01 |
| TX | MEDICARE RAIL ROAD | P02137083 | 01 |
| TX | 388263102 | 05 | |
| TX | MEDICARE | 693470 | 01 |
| TX | BCBS | 8JX687 | 01 |
| TX | TEXAS IN TRAINING PERMIT | BP20053157 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376044339 | Jordan Owens | Specialist/Technologist | 2628 Hatteras Cir, Waldorf, MD 20601-5294 | 2018-02-26 |
| 1356806780 | Jordan Christopher Owens | Case Manager/Care Coordinator | 203 E Academy Ave, Jennings, LA 70546-5331 | 2019-02-11 |
| 1659693109 | Jordan Owens | Speech-Language Pathologist | 42 W Madison St, Chicago, IL 60602-4309 | 2010-02-25 |
| Street Address |
520 DOUGLAS BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197342 | Jean Rene Yates-halbert | Physician Assistant | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2005-07-08 |
| 1316555220 | Sherry Mathew | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2020-07-16 |
| 1407487549 | Rosie M Niebuhr | Social Worker | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2020-01-28 |
| 1366899288 | Jeta Laurie Bowman | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702 | 2016-05-20 |
| 1679944946 | Laura Beth Sheets | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-10-13 |
| 1134596554 | Barakha Yadav Silvia | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-09-02 |
| 1184009565 | Alyssa Laurich | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-07-27 |
| 1285030981 | Kerri Martin | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-11-07 |
| 1710395819 | Maria Diaz | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-08-01 |
| 1487072120 | Katie Storrs | Physician Assistant | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632553 | Christina Kay Baker | Family Medicine | 2333 Dueling Oaks Dr, Tyler, TX 75703-0326 | 2020-02-21 |
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1396389870 | Shelly Lynn Williams | Family Medicine | 1420 W Southwest Loop 323 Ste 100, Tyler, TX 75701-9347 | 2019-10-29 |
| 1891354494 | Beverly Diann Butler | Family Medicine | 5604 Old Bullard Rd Ste 107, Tyler, TX 75703-4359 | 2019-06-07 |
| 1851846018 | Thomas Mason Worthington Jr. | Family Medicine | 9141 Chisholm Trl, Tyler, TX 75703-0409 | 2016-08-17 |
| 1881069557 | The Bradley Clinic of Texas, Pllc | Family Medicine | 1402 Rice Rd, Suite 100, Tyler, TX 75703-3260 | 2015-12-07 |
| 1750764189 | Diabetic Renewal Center LLC | Family Medicine | 1015 Pruitt Pl Ste 105, Tyler, TX 75703-1154 | 2015-07-02 |
| 1013306273 | Pure Radiance Laser Retreat | Family Medicine | 6722 S Broadway Ave, Tyler, TX 75703-4730 | 2015-01-12 |
| 1023412988 | James Kent Gray | Family Medicine | 14843 Big Oak Bay Rd, Tyler, TX 75707-7309 | 2014-10-21 |
| 1346640182 | Morris Mht LLC | Family Medicine | 2030 Stonegate Blvd, Tyler, TX 75703-0103 | 2014-08-29 |
| Find all providers in TYLER | ||||
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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.