Active NPI
Johnie Louis Owens III, D.O.
- Family Medicine Physician
- Pryor, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4430
- Practice address
- 562 S Elliott St
Pryor, OK 74361-6411 - Phone
- (918) 824-8000
- Fax
- (918) 825-5505
- NPI assigned
- Jul 19, 2006
- Last updated
- May 6, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2007021791 | MO | |
| Family Medicine Physician | 207Q00000X | 4430 | OK | Primary |
Addresses
Primary practice location
562 S Elliott St
Pryor, OK 74361-6411
Mailing address
562 S Elliott St
Pryor, OK 74361-6411
Phone (918) 824-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200097040A | Medicaid | OK |
Other names 1
- Dr. John L Owens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 NE 1St St
Pryor, OK 74361-8851
Phone (918) 824-7714
562 S Elliott St
Pryor, OK 74361-6411
Phone (918) 825-6334
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4430 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Resource Management, LLC | Family Medicine | Current | Accepting new patients |
| Ahs Pryor Hospital, LLC | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Oklahoma | Current | Accepting new patients | |
| Ahs Pryor Hospital, LLC | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients | |
| Saint Luke's Hospital of Trenton | Past | Accepting new patients |
Locations
16205 N Pennsylvania Ave
Edmond, OK 73013
Phone (405) 512-6950
3428 NW Cache Rd
Lawton, OK 73505
Phone (580) 595-7207
10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500
1301 NE 1st St
Ste 400
Pryor, OK 74361
Phone (918) 824-7714
562 S Elliott St
Pryor, OK 74361
Phone (918) 824-8000
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520
Dept 1206
Tulsa, OK 74182
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jowens113194@ahs.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Vialife Hospice LLC | Hospice | Contracted Managing Employee | Jun 8, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Pryor, OK
- NPI 1205313830
Contracted Managing Employee
Organizations & group practices 7
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.
-
dba Hillcrest Hospital Pryor
- General Acute Care Hospital
- Pryor, OK
- NPI 1780125005
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
Family Medicine
-
dba Cushing Medical Specialist
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
-
dba Utica Park Clinic Elliott
- Rural Health Clinic/Center
- Pryor, OK
- NPI 1134632037
-
dba MedExpress Urgent Care - Tulsa, S Yale Ave
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1710371448
-
dba Wright Memorial Hospital
- Emergency Medicine Physician
- Trenton, MO
- NPI 1851572234
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillcrest Hospital Claremore
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
-
dba Hillcrest Hospital Pryor
- General Acute Care Hospital
- Pryor, OK
- NPI 1780125005
-
- Home Health Agency
- Pryor, OK
- NPI 1134116809
-
- Community Based Hospice Care Agency
- Pryor, OK
- NPI 1205313830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1104846732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 S ELLIOTT ST",
"city": "PRYOR",
"state": "OK",
"postal_code": "743616411",
"telephone_number": "918-824-8000",
"fax_number": "918-825-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 S ELLIOTT ST",
"city": "PRYOR",
"state": "OK",
"postal_code": "743616411",
"telephone_number": "918-824-8000",
"fax_number": "918-825-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "JOHNIE",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2007021791",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "4430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200097040A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "OWENS",
"middle_name": "L",
"prefix": "DR.",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.