Individual provider Active NPI

Randal Wilson Owen, M.D.

  • Obstetrics & Gynecology Physician
  • Lexington, KY
National Provider Identifier
1467403683
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22734 Issued in KY
Practice address
1700 Nicholasville Rd
Suite 701
Lexington, KY 40503-1431
Phone
(859) 278-0396
Fax
(859) 277-5414
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22734 KY Primary

Addresses

Primary practice location

1700 Nicholasville Rd
Suite 701
Lexington, KY 40503-1431

Mailing address

1700 Nicholasville Rd
Suite 701
Lexington, KY 40503-1431
Phone (859) 278-0396

Other identifiers 1

IdentifierTypeStateIssuer
64227341MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rowen8206@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22734KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Healthcare System Inc PastSince Jan 1, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1467403683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NICHOLASVILLE RD",
            "address_2": "SUITE 701",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031431",
            "telephone_number": "859-278-0396",
            "fax_number": "859-277-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NICHOLASVILLE RD",
            "address_2": "SUITE 701",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031431",
            "telephone_number": "859-278-0396",
            "fax_number": "859-277-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "RANDAL",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "22734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64227341",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rowen8206@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1700 Nicholasville Rd",
            "address_2": "Suite 701",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405031431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.