Individual provider Active NPI

Landon Wayne Owens, MD

  • Emergency Medicine Physician
  • Columbia, SC
National Provider Identifier
1467016030
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
LL82342 Issued in SC
Practice address
Emergency Medicine Department
14 Medical Park, Ste 350
Columbia, SC 29203
Phone
(803) 434-7088
Fax
(803) 434-3946
NPI assigned
Apr 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LL82342 SC Primary

Addresses

Primary practice location

Emergency Medicine Department
14 Medical Park, Ste 350
Columbia, SC 29203

Mailing address

Emergency Medicine Department
14 Medical Park, Ste 350
Columbia, SC 29203
Phone (803) 434-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210813000563 SC Practitioner - Emergency Medicine 1850795758 Reassigns benefits to 1 organization
I20230925003378 UT Practitioner - Emergency Medicine 1850795758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Emergency Specialists LLCGroup PAC ID 5597662320, 10 clinicians

Practice addresses (Care Compare)

1400 N 500
Emergency Department
Logan, UT 84341-2455
Phone (435) 716-1000

Hospital & facility affiliations

  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL82342SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw CurrentSince Aug 10, 2021 Accepting new patients
Rocky Mountain Emergency Specialists LLC Emergency Medicine CurrentSince Aug 8, 2023 Accepting new patients
McLeod Health Cheraw Emergency Medicine CurrentSince Aug 10, 2021 Accepting new patients

Locations

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

Interoperability endpoints

  • Direct secure messaging: lowens669761@direct.multicare.org
  • Direct secure messaging: lowens25276@directmcleodehealth.org

Organizations & group practices 3

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 1

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1467016030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EMERGENCY MEDICINE DEPARTMENT",
            "address_2": "14 MEDICAL PARK, STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-7088",
            "fax_number": "803-434-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMERGENCY MEDICINE DEPARTMENT",
            "address_2": "14 MEDICAL PARK, STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-7088",
            "fax_number": "803-434-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "LANDON",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL82342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.