Individual provider Active NPI

Scott Richard Owen, P.A.

  • Medical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1265614275
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3770 Issued in AZ
Practice address
7344 E Deer Valley Rd Ste 100
Scottsdale, AZ 85255-7456
Phone
(480) 513-1042
Fax
(480) 513-1043
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3770 AZ Primary

Addresses

Primary practice location

7344 E Deer Valley Rd Ste 100
Scottsdale, AZ 85255-7456

Mailing address

7344 E Deer Valley Rd Ste 100
Scottsdale, AZ 85255-7456
Phone (480) 513-1042

Other identifiers 1

IdentifierTypeStateIssuer
3770OtherAZSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071212000284 AZ Practitioner - Physician Assistant 3678663812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Acute Medical Services 1 PCGroup PAC ID 6204113970, 49 clinicians
Total Medical Care LLCGroup PAC ID 2860538790, 6 clinicians

Practice addresses (Care Compare)

16815 W Bell Rd
Surprise, AZ 85374-2101
Phone (615) 665-6000

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 923-5000

5048 W Northern Ave
Suite 106
Glendale, AZ 85301-1558
Phone (623) 435-0190

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3770AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Total Medical Care, LLC PastSince Nov 24, 2024 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Physician Assistant Past Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Past Accepting new patients

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1265614275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7344 E DEER VALLEY RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557456",
            "telephone_number": "480-513-1042",
            "fax_number": "480-513-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7344 E DEER VALLEY RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557456",
            "telephone_number": "480-513-1042",
            "fax_number": "480-513-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "SCOTT",
        "middle_name": "RICHARD",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3770",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.