Austin Health Wired, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AUSTIN HEALTH WIRED, P.A.

Practice address

3403 Foothill Pkwy
Austin, TX 78731-5824

Phone

(512) 589-5965

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Charles Basil Owen II, MDNPI 1093767436

Title

Director

Phone

(512) 589-5965

Specialties & licenses 2

Addresses

Other names 1

• Austin Health Wired Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles B. Owen II, MD

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1093767436
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1376126045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W. 4TH STREET",
            "address_2": "SUITE 454",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78701",
            "telephone_number": "512-589-5965",
            "fax_number": "512-394-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 FOOTHILL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787315824",
            "telephone_number": "512-589-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN HEALTH WIRED, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BASIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-589-5965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Health Wired",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Austin Health Wired",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austin Healing Herbs & Acupuncture
• Austin Health Collaboration, LLC
• Austin Health Facilities LP
• Austin Health Resources, Incorporated
• Austin Health Services
• Austin Hearing Aid Center
• Austin Hearing Services, Inc.
• Austin Hillside Family Chiropractic
• Austin HJ Dental PC
• Austin Holistic Psychology

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.

Verify at the official NPI Registry.