John David Owen, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD10017 Issued in TN

Practice address

501 19TH St.
Suite 401
Knoxville, TN 37916-1839

Phone

(865) 541-1975

Fax

(865) 541-1976

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fort Sanders Perinatal Center

  • Maternal & Fetal Medicine Physician
  • Knoxville, TN
  • NPI 1003811381
  Medicare reassignment NPD
• Fort Sanders West Op Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Knoxville, TN
  • NPI 1326054172
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1205880028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 19TH ST.",
            "address_2": "SUITE 401",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161839",
            "telephone_number": "865-541-1975",
            "fax_number": "865-541-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH ST.",
            "address_2": "SUITE 401",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161839",
            "telephone_number": "865-541-1975",
            "fax_number": "865-541-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD10017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3178524",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4232431",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas C Overton, MSW
• Trisha Overton
• Whitney Overton, OT
• Zy'Tashia Overton
• Christa E Owen-Dansereau, RBT
• Mikayla Lesha Owen
• Allen Owens
• Caleb Owens, DPT
• Carman Leigh Owens
• Christy Owens

• Obstetrics & Gynecology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.