Active NPI
Roger K Owens, PA-C
- Physician Assistant
- Flemingsburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-084
- Practice address
- 169 Medical Park Drive
Flemingsburg, KY 41041 - Phone
- (606) 849-2675
- Fax
- (606) 849-2658
- NPI assigned
- Mar 14, 2006
- Last updated
- Dec 4, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-084 | KY | Primary |
Addresses
Primary practice location
169 Medical Park Drive
Flemingsburg, KY 41041
Mailing address
901 Kenton Station Dr
Maysville, KY 41056-9609
Phone (606) 759-9353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9500533600 | Medicaid | KY | |
| 6293 | Other | KY | KY MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1115 Progress Way
Maysville, KY 41056-9688
Phone (606) 759-4442
989 Medical Park Dr
Maysville, KY 41056-8750
Phone (606) 759-3585
991 Medical Dr
Suite 207
Maysville, KY 41056-8728
Phone (606) 759-4852
991 Medical Park Dr
Maysville, KY 41056-8728
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-084 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadowview Physician Practice LLC | Current | Accepting new patients | |
| Meadowview Physician Practice LLC | Current | Accepting new patients | |
| Ohio Valley Heart, P.S.C. | Physician Assistant | Past | Accepting new patients |
| Meadowview Physician Practice LLC | Past | Accepting new patients |
Locations
901 Kenton Station Dr
Maysville, KY 41056
Phone (606) 759-5337
989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112
991 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (606) 759-3585
991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424
Interoperability endpoints
- roger.owens.1@19475.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Otolaryngology Physician
- Maysville, KY
- NPI 1760893275
-
dba Meadowview General Surgery
- Surgery Physician
- Maysville, KY
- NPI 1356592612
-
dba Meadowview Internal Medicine & Pediatric Associates
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1952152530
-
dba Meadowview Oncology Care Center
- Hematology & Oncology Physician
- Maysville, KY
- NPI 1629329990
-
- Cardiovascular Disease Physician
- Maysville, KY
- NPI 1194773838
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Meadowview Regional Medical Center
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1821135518
Hospital
-
dba Meadowview Regional Medical Center
- Rural Acute Care Hospital
- Maysville, KY
- NPI 1881785863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1104895234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 KENTON STATION DR",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410569609",
"telephone_number": "606-759-9353",
"fax_number": "606-759-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MEDICAL PARK DRIVE",
"city": "FLEMINGSBURG",
"state": "KY",
"postal_code": "41041",
"telephone_number": "606-849-2675",
"fax_number": "606-849-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "ROGER",
"middle_name": "K",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA-084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9500533600",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICARE GROUP #",
"identifier": "6293",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flemingsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.