Individual provider Active NPI

Justin L Owen, MD

  • Neurological Surgery Physician
  • Marrero, LA
National Provider Identifier
1336330463
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD.201410 Issued in LA
Practice address
1111 Medical Center Blvd
Ste S750
Marrero, LA 70072
Phone
(504) 340-6976
Fax
(504) 349-6786
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD.201410 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Ste S750
Marrero, LA 70072

Mailing address

1111 Medical Center Blvd
Ste S750
Marrero, LA 70072
Phone (504) 340-6976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120501000239 LA Practitioner - Neurosurgery 0547422917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Arkansas College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic and Interventional Spinal Care of LouisianaGroup PAC ID 0244460293, 10 clinicians

Practice addresses (Care Compare)

76 Starbrush Cir
Covington, LA 70433-7208
Phone (985) 400-5778

Hospital & facility affiliations

  • Avala Hospital, Covington, LA, CCN 190267
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
  • Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion497
Laminectomy or laminotomy (partial removal of spine bones)106

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic and Interventional Spinal Care of Louisiana CurrentSince Jul 1, 2019 Accepting new patients

Locations

76 Starbrush Cir
Covington, LA 70433
Phone (985) 400-5778

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

19184 Dr John Lambert Dr
Hammond, LA 70403
Phone (985) 542-7766

1570 Lindberg Dr
Ste 4
Slidell, LA 70458
Phone (985) 892-8934

Interoperability endpoints

  • Direct secure messaging: jowen@culicchianeuro1828.srs-direct.com

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.

Hospital & facility affiliations 10

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1336330463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "STE S750",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-340-6976",
            "fax_number": "504-349-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "STE S750",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-340-6976",
            "fax_number": "504-349-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JUSTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "MD.201410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.