Individual provider Active NPI

Larry Scott Owen, MD

  • Hospitalist Physician
  • Anchorage, AK
National Provider Identifier
1396859666
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MEDS7584 Issued in AK
Practice address
4300 B St
Suite 200
Anchorage, AK 99503-5925
Phone
(907) 375-3355
Fax
(907) 375-3351
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MEDS7584 AK Primary
Internal Medicine Physician 207R00000X 15758 OK

Addresses

Primary practice location

4300 B St
Suite 200
Anchorage, AK 99503-5925

Mailing address

4300 B St
Suite 200
Anchorage, AK 99503-5925
Phone (907) 375-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20130212000295 AK Practitioner - HospitalistPractitioner - Internal Medicine 1355399858 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mat Su Valley Medical Center LLC Internal Medicine CurrentSince Apr 4, 2013 Accepting new patients
Alaska Hospitalist Group LLC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Infectious Disease Associates LLC Current Accepting new patients
Medical Specialists Inc Internal Medicine Current Accepting new patients
Mat-Su Valley Medical Center LLC Hospitalist CurrentSince Apr 4, 2013 Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

4300 B St
Ste 200
Anchorage, AK 99503
Phone (907) 276-1131

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

232 W Rockwell Ave
Soldotna, AK 99669
Phone (907) 375-3355

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

5700 N Portland Ave
Ste 100
Oklahoma City, OK 73112
Phone (405) 458-7162

5401 N Portland Ave
Ste 200
Oklahoma City, OK 73112

5401 N Portland Ave
Ste 220
Oklahoma City, OK 73112
Phone (405) 604-4321

Organizations & group practices 5

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1396859666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 B ST",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035925",
            "telephone_number": "907-375-3355",
            "fax_number": "907-375-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 B ST",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035925",
            "telephone_number": "907-375-3355",
            "fax_number": "907-375-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "LARRY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AK",
            "license": "MEDS7584",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "15758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.