Active NPI
Elmer Gari Owens, P.A.
- Physician Assistant
- Fairfax, OK
National Provider Identifier
1679613970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 619
- Practice address
- Hwy 18 & Taft Avenue
Fairfax, OK 74637-0219 - Phone
- (918) 642-3291
- Fax
- (918) 642-3694
- NPI assigned
- Feb 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 619 | OK | Primary |
Addresses
Primary practice location
Hwy 18 & Taft Avenue
Fairfax, OK 74637-0219
Mailing address
12500 NE 36TH St
Choctaw, OK 73020-9111
Phone (405) 769-3221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100055050A | Medicaid | OK |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 619 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectra Mental Health | Past | Accepting new patients | |
| Fairfax Healthcare Properties,LLC | Past | Accepting new patients | |
| A Plus Urgent Care | Past | Accepting new patients | |
| Fairfax Healthcare Properties,L.L.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Midwest City, OK
- NPI 1528304060
-
dba Fairfax Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Fairfax, OK
- NPI 1922143098
-
dba Fairfax Memorial Hospital
- Critical Access Hospital
- Fairfax, OK
- NPI 1376554006
-
- Counselor
- Midwest City, OK
- NPI 1073932976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679613970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 NE 36TH ST",
"city": "CHOCTAW",
"state": "OK",
"postal_code": "730209111",
"telephone_number": "405-769-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 18 & TAFT AVENUE",
"city": "FAIRFAX",
"state": "OK",
"postal_code": "746370219",
"telephone_number": "918-642-3291",
"fax_number": "918-642-3694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "ELMER",
"middle_name": "GARI",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100055050A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, OK
- Michael S Ben Inc PC (Fairfax Dental Office)
- Zane Grey Mills, DDS
- Oklahoma Advantage Storehouse, LLC
- Oklahoma Home Health LLC
- Osage Skies Hospice Group Inc
- Wanda W Priddy, LCSW
- Rebecca A Rhodes, APRN,BC
- Rural Wellness Fairfax Inc (Rural Wellness Fairfax Hospital)
- Rural Wellness Fairfax Inc (Rural Wellness Fairfax Clinic)
- Rural Wellness Fairfax Inc (Rural Wellness Fairfax Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.