Individual provider Active NPI

Sean M Owen, M.D

  • Orthopaedic Trauma Physician
  • Opp, AL
National Provider Identifier
1710143821
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
43694 Issued in AL
Practice address
1800 US Highway 84 W
Opp, AL 36467-3520
Phone
(334) 579-3004
Fax
(334) 579-3005
NPI assigned
Jul 29, 2008
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 43694 AL Primary
Orthopaedic Surgery Physician 207X00000X 2008016712 MO

Addresses

Primary practice location

1800 US Highway 84 W
Opp, AL 36467-3520

Mailing address

1800 US Highway 84 W
Opp, AL 36467-3520
Phone (345) 579-3004

Other practice location 1

3798 Janes Rd Ste 6
Arcata, CA 95521-4745
Phone (707) 825-2663

Other practice location 2

1771 Northcrest Dr
Crescent City, CA 95531-8922
Phone (707) 464-8954

Other practice location 3

702 N Main St Ste 2
Opp, AL 36467-1626
Phone (334) 579-3004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121219000184 CA Practitioner - Orthopedic Surgery 3971755059 Practice locations: Arcata, CA; Crescent City, CA
I20220526001613 AL Practitioner - Orthopedic Surgery 3971755059 Practice locations: Opp, AL

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 US Hwy 84 W
Opp, AL 36467-3520
Phone (334) 579-3004

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008016712MOMDOrthopaedic Surgery Physician
43694ALMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mizell Memorial Hospital, Inc. Past Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients
Sutter West Bay Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sean.owen.1@30051.direct.athenahealth.com
  • Direct secure messaging: sowen@alortho.gwaydirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1710143821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 US HIGHWAY 84 W",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364673520",
            "telephone_number": "345-579-3004",
            "fax_number": "334-579-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 US HIGHWAY 84 W",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364673520",
            "telephone_number": "334-579-3004",
            "fax_number": "334-579-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3798 Janes Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Arcata",
            "state": "CA",
            "postal_code": "955214745",
            "country_code": "US",
            "telephone_number": "707-825-2663",
            "fax_number": "707-825-1270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1771 Northcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Crescent City",
            "state": "CA",
            "postal_code": "955318922",
            "country_code": "US",
            "telephone_number": "707-464-8954",
            "fax_number": "707-825-1270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 N Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Opp",
            "state": "AL",
            "postal_code": "364671626",
            "country_code": "US",
            "telephone_number": "334-579-3004",
            "fax_number": "334-579-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AL",
            "license": "43694",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2008016712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opp, AL

Sources for this page

Verify at the official NPI Registry.