ROGER KIRK OWENS II (NPI# 1740328178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740328178 |
Entity Type | Individual |
Full Name | ROGER KIRK OWENS II |
Credential | M.D. |
Practice Address |
4123 Dutchmans Ln Suite 401 Louisville KY 40207-4707 |
Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
Practice Telephone | 5025847525 |
Mailing Telephone | 5025889490 |
Mailing Fax Number | 5022725116 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2016-07-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 43341 | KY | Allopathic & Osteopathic Physicians |
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
43341 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NLS/ANTHEM | 000000672943 | 01 | |
IN | 200995020 | 05 | |
KY | 7100126910 | 05 | |
NLS/AETNA | 9077569 | 01 | |
NLS/CIGNA | 9662652 | 01 | |
NLS/HUMANA | 000052154Y | 01 | |
NLS/SIHO | 117506 | 01 | |
NLS/PHP | 50029766 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104895234 | Roger K Owens | Physician Assistant | 169 Medical Park Drive, Flemingsburg, KY 41041 | 2006-03-14 |
1932108941 | Roger Wyatt Owens | Chiropractor | 3349 American Ave, Suite B, Jefferson City, MO 65109-1079 | 2005-07-20 |
1992774079 | Roger Douglas Owens | Internal Medicine | 667 Lanier Park Dr, Gainesville, GA 30501-2059 | 2006-03-14 |
Street Address |
4123 DUTCHMANS LN SUITE 401 |
City | LOUISVILLE |
State | KY |
Zip Code | 40207-4707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124022496 | Rhonda W. Howard | Nurse Practitioner | 4123 Dutchmans Ln, Suite 515, Louisville, KY 40207-4707 | 2005-06-02 |
1518509777 | Blair Kelly Wagner | Nurse Practitioner | 4123 Dutchmans Ln, Louisville, KY 40207-4707 | 2019-10-09 |
1750805966 | Patrick Mcrae | Nurse Practitioner | 4123 Dutchmans Ln, Louisville, KY 40207-4707 | 2017-07-29 |
1285006049 | Erin M Parker | Nurse Practitioner | 4123 Dutchmans Ln, Suite 101, Louisville, KY 40207-4707 | 2015-10-20 |
1831434455 | Eran Rosenberg | Urology | 4123 Dutchmans Ln, Suite 102, Louisville, KY 40207 | 2012-12-07 |
1790076487 | Katherine E Caldwell | Pediatrics | 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 | 2011-04-28 |
1851690846 | Angela Marie Cox | Pediatrics | 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 | 2011-03-16 |
1467759035 | Jaclyn Haley Alexander | Nurse Practitioner | 4123 Dutchmans Ln, Ste. 300, Louisville, KY 40207-4707 | 2011-02-17 |
1306152939 | Ansel Tsung Jin Tjin-a-tam | Pediatrics | 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 | 2010-08-19 |
1790002517 | Daniel Nathan Ginn | Obstetrics & Gynecology | 4123 Dutchmans Ln, Ste. 300, Louisville, KY 40207-4707 | 2010-05-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
Find all providers in zip 40207 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982879607 | Jeffrey Lynn Gum | Orthopaedic Surgery | 210 East Gray Street, Louisville, KY 40202-1902 | 2008-04-23 |
1518967371 | Michael Thomas Casnellie | Orthopaedic Surgery | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2005-07-22 |
1316942006 | David P Rouben | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2005-06-17 |
1972119220 | Joseph Morreale Md | Orthopaedic Surgery | 90 Health Park Dr Ste 130, Louisville, CO 80027-9586 | 2020-09-22 |
1073133054 | Joseph Laratta Md Spine Surgeon, LLC | Orthopaedic Surgery | 1169 Eastern Pkwy Ste 400, Louisville, KY 40217-1412 | 2020-04-20 |
1760995443 | David P Rouben Md Psc | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2017-11-16 |
1821507005 | Mikhail Lew Perez Ver | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2017-09-20 |
1982019998 | Kimona Issa | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2014-06-27 |
1891058335 | Fabian Carballo Madrigal | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2012-06-20 |
1871852640 | University Orthopaedic Departmental Entity Inc | Orthopaedic Surgery | 530 S Jackson St, Louisville, KY 40202-1675 | 2012-05-14 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40207 |
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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.