Active NPI
Kerry C Owens MD PC
- Specialist
- Oklahoma City, OK
National Provider Identifier
1205020765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20074
- Legal business name
- KERRY C OWENS MD PC
- Practice address
- 3400 NW Expressway
Suite 800
Oklahoma City, OK 73112-4493 - Phone
- (405) 552-2961
- NPI assigned
- Aug 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerry C Owens, MD
- Title
- President
- Phone
- (405) 552-2963
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20074 | OK | Primary |
Addresses
Primary practice location
3400 NW Expressway
Suite 800
Oklahoma City, OK 73112-4493
Mailing address
3400 NW Expressway
Suite 800
Oklahoma City, OK 73112-4493
Phone (405) 552-2961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1901 W 3rd St
Elk City, OK 73644
Phone (580) 225-1086
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Oklahoma City, OK
- NPI 1578523148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188259200000",
"number": "1205020765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 NW EXPRESSWAY",
"address_2": "SUITE 800",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124493",
"telephone_number": "405-552-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 NW EXPRESSWAY",
"address_2": "SUITE 800",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124493",
"telephone_number": "405-552-2961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KERRY C OWENS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-552-2963",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OK",
"license": "20074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.