Graves T Owen, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

J0175 Issued in TX

Practice address

7200 Wyoming SPGS
Ste 400
Round Rock, TX 78681-4304

Phone

(512) 310-7246

Fax

(512) 310-7667

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

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.

• Texas Pain Rehabilitation Institute, PA

  • Pain Medicine (Anesthesiology) Physician
  • Round Rock, TX
  • NPI 1598763245
  NPD (past) Authorized official

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1649278201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPRINGS RD SUITE 400",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814304",
            "telephone_number": "512-310-7246",
            "fax_number": "512-310-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS",
            "address_2": "STE 400",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814304",
            "telephone_number": "512-310-7246",
            "fax_number": "512-310-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "GRAVES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "J0175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050057463RR",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100192704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81Z160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THCS",
            "identifier": "144572XX",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Outlaw, FNP-C
• Ovations Healthcare Services, Inc.
• Ovations Healthcare Services, Inc.
• Michelle Nix Overman, LMFT
• Edmond W Owen Jr., M.D.
• Kendall Owen
• Joseph William Owens, MD
• Kris W Owens, DDS, MS
• Kristy L Owens
• Miranda Gail Owens, LPC

• Interventional Pain Medicine Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.