Active NPI
Lance M Owens, D.O.
- Family Medicine Physician
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101013832
- Practice address
- 2215 44TH St SW
Wyoming, MI 49519-6439 - Phone
- (616) 252-8300
- Fax
- (616) 252-8460
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013832 | MI | Primary |
Addresses
Primary practice location
2215 44TH St SW
Wyoming, MI 49519-6439
Mailing address
5900 Byron Center Ave SW
Attn: Medical Administration
Wyoming, MI 49519-9606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548224728 | Medicaid | MI | |
| 08-5-41-1062-5 | Other | MI | BCBS PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 44TH St SW
Metro Health Sports Medicine
Wyoming, MI 49519-6439
Phone (616) 252-7778
Hospital & facility affiliations
- Mary Free Bed at Home, LLC
- Interim Healthcare of West Michigan
- University of Michigan Health - West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101013832 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Family Medicine | Current | Accepting new patients |
| Metropolitan Hospital | Current | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients |
Locations
4200 Division Ave N
Comstock Park, MI 49321
Phone (616) 252-1600
781 36th St SE
Wyoming, MI 49548
Phone (616) 252-4100
2215 44th St SW
Wyoming, MI 49519
Phone (616) 252-8300
2215 44th St SW
Ste 201A
Wyoming, MI 49519
2215 44th St SW
Ste 100
Wyoming, MI 49519
Phone (616) 252-8300
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100
Interoperability endpoints
- lowens1644@direct.metrohealth.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- Family Medicine Physician
- Wyoming, MI
- NPI 1114947538
-
- Anatomic Pathology & Clinical Pathology Physician
- Wyoming, MI
- NPI 1336182542
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1871871350
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1023477478
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1548224728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"address_2": "ATTN: MEDICAL ADMINISTRATION",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 44TH ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495196439",
"telephone_number": "616-252-8300",
"fax_number": "616-252-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "LANCE",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101013832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548224728",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "08-5-41-1062-5",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.