KELLY OWEN (NPI# 1922434075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922434075 |
| Entity Type | Individual |
| Full Name | KELLY OWEN |
| Credential | P.A. |
| Practice Address |
9 Richland Medical Park Dr Ste 450 Columbia SC 29203 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034348800 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2339 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 2569PA | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2402 Frist Blvd, Suite 204, Fort Pierce, FL 349504838 | 7724623939 | 7724623938 |
| 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203 | 8034348800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932717303 | Kelly Owen | Occupational Therapist | 921 N Clay Ave, Kirkwood, MO 63122-2632 | 2020-07-21 |
| 1285130740 | Kelly Monica Owen | Behavior Technician | 9445 Sw 171st Ave, Miami, FL 33196-2976 | 2018-04-03 |
| 1447599261 | Kelly Martinez Owen | Dentist | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2013-02-14 |
| 1699911131 | Kelly Owen | Counselor | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2009-01-06 |
| 1982891982 | Kelly Owen | Emergency Medicine | 4150 V St, Pssb 2100, Sacramento, CA 95817-1460 | 2007-10-03 |
| Street Address |
9 RICHLAND MEDICAL PARK DR STE 450 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386601102 | Gregory E Barefoot | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2006-04-26 |
| 1518522077 | Sarah Partin | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2019-05-09 |
| 1770048571 | Alexander Weigman | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2019-02-05 |
| 1215403084 | Caroline Grace Perdue | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2018-10-19 |
| 1962990689 | Palmetto Health - University of South Carolina Medical Group | Surgery | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2018-04-27 |
| 1366954950 | Jonathan David Szuchy | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203 | 2017-11-03 |
| 1922510296 | Anne Morrison Payne | Surgery | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203 | 2017-10-26 |
| 1902320120 | Preston Linebaugh | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2017-07-30 |
| 1346625332 | Megan Iseman | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2015-07-20 |
| 1326464058 | Ronelle Guinyard | Nurse Practitioner | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203 | 2014-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619500691 | Ivanka M Mora | Physician Assistant | 5910 Watch Chain Way Apt 603, Columbia, MD 21044-3875 | 2020-02-18 |
| 1316579287 | Christina Verzi | Physician Assistant | 5681 Columbia Rd Apt 301, Columbia, MD 21044-1960 | 2020-02-10 |
| 1225668064 | Steven Ebers | Physician Assistant | 1201 International Dr, Columbia, MO 65202-1612 | 2020-01-21 |
| 1780228197 | Jeremy M Barth | Physician Assistant | 5886 Morningbird Ln, Columbia, MD 21045-3508 | 2019-10-30 |
| 1730749920 | Ann Marie Schlafly | Physician Assistant | 1 Hospital Drive, Mc 413, Columbia, MO 65212-0001 | 2019-06-19 |
| 1619532363 | Casey Burner Skinner | Physician Assistant | 2126 Tugaloo Ave, Columbia, SC 29205-3330 | 2019-05-08 |
| 1205491040 | Meghan Catherine Monk | Physician Assistant | 229 Route 87, Columbia, CT 06237-1050 | 2019-05-07 |
| 1124594999 | Candace Rachel Skulkety | Physician Assistant | 612 Whaley St Apt 348, Columbia, SC 29201-6329 | 2018-10-19 |
| 1508346396 | Hannah Marie Dewes | Physician Assistant | 3 Medical Park Rd #310, Columbia, SC 29203 | 2018-08-21 |
| 1295236438 | Helen Mckinney | Physician Assistant | 234 Castlebury Dr, Columbia, SC 29229-7566 | 2018-02-22 |
| Find all providers in COLUMBIA | ||||
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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.