Zachary Elliot Owen, CST, CSFA

Individual provider Active NPI Surgical Assistant · Oronogo, MO

NPI 1134045792 · NPPES record last updated Jun 27, 2026

Key facts

NPI
1134045792
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Assistant 246ZC0007X
Practice address
701 Short Leaf LN
Oronogo, MO 64855-6001
Phone
(501) 574-1294
NPI assigned
Jun 27, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X Yes

Addresses

Primary practice location

701 Short Leaf LN
Oronogo, MO 64855-6001

Mailing address

701 Short Leaf LN
Oronogo, MO 64855-6001
Phone (501) 574-1294

Other providers in Oronogo, MO

All providers in Oronogo, MO · Surgical Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.