Owen Clinic, P. C.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

MD17915 Issued in TN

Legal business name

OWEN CLINIC, P. C.

Practice address

3980 New Covington Pike
Suite 101
Memphis, TN 38128-2500

Phone

(901) 383-8232

Fax

(901) 383-8277

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Edmond W. Owen Jr., M.D.

Title

Owner President

Phone

(901) 383-8232

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699758771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 NEW COVINGTON PIKE",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282500",
            "telephone_number": "901-383-8232",
            "fax_number": "901-383-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 NEW COVINGTON PIKE",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282500",
            "telephone_number": "901-383-8232",
            "fax_number": "901-383-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEN CLINIC, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "901-383-8232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "MD17915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "4077526",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723720",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Overflow Masters Transportation LLC
• Emily T. Overholser, M.D.
• Shannon Eric Overley, BCBA
• Hugh T Overstreet, M.D.
• Krishana Overstreet, LCSW
• Arneishea S Owen
• Bethany Mays Owen, M.D.
• Deanna L. Owen, PH.D.
• Jane Snedeker Owen, NP
• Jasmyne Owen, PT, DPT

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tennessee

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