Individual provider Active NPI

Holly A Owens, MD

  • Pediatrics Physician
  • Oklahoma City, OK
National Provider Identifier
1184765984
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24997 Issued in OK
Practice address
940 NE 13TH St
3N3409
Oklahoma City, OK 73104-5008
Phone
(405) 271-4417
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24997 OK Primary

Addresses

Primary practice location

940 NE 13TH St
3N3409
Oklahoma City, OK 73104-5008

Mailing address

940 Stanton L Young Blvd
BMSB 357
Oklahoma City, OK 73104-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101028000903 TX Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 9830383322 Reassigns benefits to 2 organizations
I20251016003038 NV Practitioner - Pediatric Medicine 9830383322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1208 King St
FL 5
Chattanooga, TN 37403-4352

File
Suite 50978
Los Angeles, CA 90074-0001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Family Medicine CurrentSince Mar 1, 2012 Accepting new patients
Acs Primary Care Physicians Southwest, PA Family Medicine CurrentSince Sep 1, 2010 Accepting new patients
Pokroy Medical Group of Nevada, LTD. Pediatrics CurrentSince Aug 15, 2025 Accepting new patients
Ut Physicians CurrentSince Mar 1, 2012 Accepting new patients
University of Oklahoma College of Medicine Family Medicine Past Accepting new patients

Locations

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

1240 E 9th St
Reno, NV 89512
Phone (775) 323-0478

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184765984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 STANTON L YOUNG BLVD",
            "address_2": "BMSB 357",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 NE 13TH ST",
            "address_2": "3N3409",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045008",
            "telephone_number": "405-271-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "HOLLY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "24997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.