NPIMap

Individual provider Active NPI

Charles B. Owen II, MD

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1093767436
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
F7017 Issued in TX
Practice address
3403 Foothill Pkwy
Austin, TX 78731-5824
Phone
(512) 451-9606
Fax
(512) 451-7221
NPI assigned
May 16, 2006
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X F7017 TX Primary

Addresses

Primary practice location

3403 Foothill Pkwy
Austin, TX 78731-5824

Mailing address

3403 Foothill Pkwy
Austin, TX 78731-5824
Phone (512) 451-9606

Other identifiers 2

IdentifierTypeStateIssuer
137689914MedicaidTX
F7017OtherTXSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609000371 TX Practitioner - Emergency Medicine 8325021660 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
1 True Health - California PCGroup PAC ID 9537605779, 3 clinicians

Practice addresses (Care Compare)

539 W Commerce St
Dallas, TX 75208-1953
Phone (385) 377-9352

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
1 True Health - California PC CurrentSince Aug 1, 2024 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Dec 15, 2004 Accepting new patients
Brewster Emergency Medicine Associates PA Emergency Medicine CurrentSince Jan 19, 2016 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Feb 15, 2015 Accepting new patients
Southeast Emergency Physician Associates, P.a. Emergency Medicine Past Accepting new patients
Pioneer Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients

Locations

2620 Ridgewood Rd
Ste 300
Akron, OH 44313

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

3003 Bee Caves Rd
Austin, TX 78746
Phone (512) 314-3800

3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

539 W Commerce St
Dallas, TX 75208
Phone (385) 377-9352

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1093767436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 FOOTHILL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787315824",
            "telephone_number": "512-451-9606",
            "fax_number": "512-451-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 FOOTHILL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787315824",
            "telephone_number": "512-451-9606",
            "fax_number": "512-451-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "CHARLES",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F7017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137689914",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "F7017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.