Individual provider Active NPI

David Patrick Owens, CRNA

  • Certified Registered Nurse Anesthetist
  • Ashland, KY
National Provider Identifier
1881669786
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4061A Issued in KY
Practice address
2201 Lexington Ave
Ashland, KY 41101
Phone
(606) 327-4000
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4061A KY Primary

Addresses

Primary practice location

2201 Lexington Ave
Ashland, KY 41101

Mailing address

3785 Reliable Pkwy
Chicago, IL 60686-0037
Phone (316) 281-3700

Other identifiers 4

IdentifierTypeStateIssuer
74425828MedicaidKY
000000332147OtherKYANTHEM BLUE CROSS BLUE SHIELD
0067912000MedicaidWV
0868842MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090623000713 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294708525 Reassigns benefits to 4 organizations
I20160510001702 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294708525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Anesthesia LLCGroup PAC ID 5597063834, 7 clinicians

Practice addresses (Care Compare)

2335 Chesterfield Ave
Suite 400
Charleston, WV 25304-1066
Phone (304) 417-1255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4061AKYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of West Virginia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 12, 2016 Accepting new patients
Oasis Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2016 Accepting new patients
Cabell Huntington Hospital Inc CurrentSince May 2, 2009 Accepting new patients
Cabell Huntington Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince May 2, 2009 Accepting new patients
Sleepers Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

400 10th St E
Waconia, MN 55387

405 S 3rd St
Ironton, OH 45638
Phone (304) 417-1255

2335 Chesterfield Ave
Ste 400
Charleston, WV 25304
Phone (304) 417-1255

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

1201 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 523-1885

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1881669786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860037",
            "telephone_number": "316-281-3700",
            "fax_number": "316-282-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 LEXINGTON AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-327-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "DAVID",
        "middle_name": "PATRICK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4061A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74425828",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000332147",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067912000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0868842",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.