Individual provider Active NPI

Jimie Dianne Owsley, MD

  • Trauma Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1730115270
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
M3053 Issued in TX
Practice address
810 Morgan Ave Apt 1
Corpus Christi, TX 78404-2058
Phone
(361) 887-9928
Fax
(361) 887-9947
NPI assigned
Jun 25, 2006
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X M3053 TX Primary

Addresses

Primary practice location

810 Morgan Ave Apt 1
Corpus Christi, TX 78404-2058

Mailing address

PO Box 1876
Corpus Christi, TX 78403-1876
Phone (361) 887-9928

Other identifiers 2

IdentifierTypeStateIssuer
M3053OtherTXLICENSE
181667002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060911000284 TX Practitioner - General Surgery 0941204754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Elizabeth St
Corpus Christi, TX 78404-2235

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Consultants PA Trauma Surgery CurrentSince Apr 1, 2007 Accepting new patients

Locations

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

600 Elizabeth St
Ste 101
Corpus Christi, TX 78404

6210 Wooldridge Rd
Ste A
Corpus Christi, TX 78414
Phone (361) 887-9928

Interoperability endpoints

  • Direct secure messaging: jimie.owsley.1@31077.direct.athenahealth.com
  • Direct secure messaging: jowsley3482455@nychhc.direct-ci.com

Organizations & group practices 1

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 1

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1730115270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1876",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784031876",
            "telephone_number": "361-887-9928",
            "fax_number": "361-887-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MORGAN AVE APT 1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042058",
            "telephone_number": "361-887-9928",
            "fax_number": "361-887-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWSLEY",
        "first_name": "JIMIE",
        "middle_name": "DIANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "M3053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M3053",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181667002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.