Individual provider Active NPI

William Frances Owens, PA

  • Surgical Physician Assistant
  • Latham, NY
National Provider Identifier
1427076652
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
002360 Issued in NY
Practice address
3 Lear Jet LN Ste 203
Latham, NY 12110-2322
Phone
(518) 250-5513
Fax
(844) 907-2966
NPI assigned
Jul 17, 2006
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002360 NY
Surgical Physician Assistant 363AS0400X 002360 NY Primary

Addresses

Primary practice location

3 Lear Jet LN Ste 203
Latham, NY 12110-2322

Mailing address

3 Lear Jet LN
Ste 203
Latham, NY 12110-2322

Other identifiers 2

IdentifierTypeStateIssuer
000491283002OtherNYBLUE SHIELD
060117000012OtherNYFIDELIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040407001524 NY Practitioner - Physician Assistant 5092708669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Albany Medical College of Union University, 1983
Medicare assignment
May accept Medicare assignment
Group practices
RTJ Enterprise Neurology, PLLCGroup PAC ID 6800372418, 2 clinicians
Libertas Medical Services PLLCGroup PAC ID 5597132142, 3 clinicians

Practice addresses (Care Compare)

7 Southside Dr
Suite 206
Clifton Park, NY 12065-3894
Phone (518) 709-0005

963 Route 146
Suite 1
Clifton Park, NY 12065-3636
Phone (518) 672-3050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002360NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Libertas Medical Services PLLC CurrentSince Sep 24, 2025 Accepting new patients
RTJ Enterprise Neurology PLLC CurrentSince Dec 20, 2025 Accepting new patients

Locations

7 Southside Dr
Ste 206
Clifton Park, NY 12065
Phone (518) 258-4033

963 Route 146
Ste 1
Clifton Park, NY 12065
Phone (518) 579-0012

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1427076652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LEAR JET LN",
            "address_2": "STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LEAR JET LN STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102322",
            "telephone_number": "518-250-5513",
            "fax_number": "844-907-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "WILLIAM",
        "middle_name": "FRANCES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "002360",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "002360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000491283002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "060117000012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.