Individual provider Active NPI

Stephen J Owen, DO

  • Family Medicine Physician
  • Jackson, OH
National Provider Identifier
1205854353
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.003829 Issued in OH
Practice address
1000 Veterans Dr
Jackson, OH 45640-9586
Phone
(740) 395-8090
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.003829 OH Primary

Addresses

Primary practice location

1000 Veterans Dr
Jackson, OH 45640-9586

Mailing address

1000 Veterans Dr
Jackson, OH 45640-9586
Phone (740) 395-8090

Other identifiers 1

IdentifierTypeStateIssuer
0764810MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.fam.med.jackson@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000080 OH Practitioner - Family Practice 0446143705 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Family Medicine CurrentSince Apr 9, 2018 Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

4439 State Route 159
Ste 130
Chillicothe, OH 45601
Phone (740) 779-4360

500 Burlington Rd
Ste 260
Jackson, OH 45640
Phone (740) 577-9181

1000 Veterans Dr
Jackson, OH 45640
Phone (740) 395-8050

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Organizations & group practices 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1205854353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VETERANS DR",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456409586",
            "telephone_number": "740-395-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VETERANS DR",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456409586",
            "telephone_number": "740-395-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.003829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0764810",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.fam.med.jackson@adena.medicity.net",
            "affiliation": "N",
            "address_1": "1000 Veterans Dr",
            "city": "Jackson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456409586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, OH

Sources for this page

Verify at the official NPI Registry.