Individual provider Active NPI

Gemaine Diane Owen, MD

  • Family Medicine Physician
  • Christiansted, VI
National Provider Identifier
1891819017
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1424 Issued in VI
Practice address
4500 Sunny Isle
Christiansted, VI 00820-5173
Phone
(340) 692-2600
Fax
(340) 692-2602
NPI assigned
Mar 16, 2007
Last updated
May 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME80298 FL
Family Medicine Physician 207Q00000X 1424 VI Primary

Addresses

Primary practice location

4500 Sunny Isle
Christiansted, VI 00820-5173

Mailing address

RR 2 Box 10565
Suite 107, the Village Mall
Kingshill, VI 00850-9604
Phone (340) 692-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20080414000458 VI Practitioner - Family Practice 5092782060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

240 Peters Rest
Christiansted, VI 00820-4493
Phone (340) 692-2600

Island Medical Ctr 4500 Sunny Isle
Suite 302
St Croix, VI 00820-4493

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Croix Behavioral Health Center, LLC CurrentSince Jul 28, 2013 Accepting new patients
St Croix Family Medicine, LLC CurrentSince May 21, 2012 Accepting new patients

Locations

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

4500 Sunny Isle
St Croix, VI 00820
Phone (340) 692-2600

Organizations & group practices 2

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 2

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1891819017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 10565",
            "address_2": "SUITE 107, THE VILLAGE MALL",
            "city": "KINGSHILL",
            "state": "VI",
            "postal_code": "008509604",
            "telephone_number": "340-692-2600",
            "fax_number": "340-692-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SUNNY ISLE",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008205173",
            "telephone_number": "340-692-2600",
            "fax_number": "340-692-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "GEMAINE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME80298",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VI",
            "license": "1424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

Verify at the official NPI Registry.