Organization Active NPI

Douglas G Owen, MD, PSC

  • Ophthalmology Physician
  • Richmond, KY
National Provider Identifier
1073810875
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
23349 Issued in KY
Legal business name
DOUGLAS G OWEN, MD, PSC
Practice address
312 Jason Dr
Suite #5
Richmond, KY 40475-2785
Phone
(859) 623-5070
Fax
(859) 623-2117
NPI assigned
Feb 15, 2011
Last updated
Feb 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Douglas G Owen, M.D.
Title
Owner
Phone
(859) 623-5070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 23349 KY Primary

Addresses

Primary practice location

312 Jason Dr
Suite #5
Richmond, KY 40475-2785

Mailing address

312 Jason Dr
Suite #5
Richmond, KY 40475-2785
Phone (859) 623-5070

Other identifiers 1

IdentifierTypeStateIssuer
64233497MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1073810875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 JASON DR",
            "address_2": "SUITE #5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752785",
            "telephone_number": "859-623-5070",
            "fax_number": "859-623-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 JASON DR",
            "address_2": "SUITE #5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752785",
            "telephone_number": "859-623-5070",
            "fax_number": "859-623-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS G OWEN, MD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-623-5070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "23349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64233497",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.