Individual provider Active NPI

Owen Harris

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1902350606
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18141 Issued in TX
Practice address
4611 Guadalupe St Ste 200
Austin, TX 78751-2928
Phone
(512) 476-2830
Fax
(512) 476-2832
NPI assigned
Aug 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18141 TX Primary

Addresses

Primary practice location

4611 Guadalupe St Ste 200
Austin, TX 78751-2928

Mailing address

4611 Guadalupe St Ste 200
Austin, TX 78751-2928
Phone (512) 476-2830

Other practice location 1

5329 Serene Hills Dr Ste 202
Austin, TX 78738-1259
Phone (512) 476-2830

Other practice location 2

715 Discovery Blvd Ste 102
Cedar Park, TX 78613-2294
Phone (512) 476-2830

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830002745 TX Practitioner - Physician Assistant 3274812284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4611 Guadalupe St
Austin, TX 78751-2999
Phone (512) 476-2830

4611 Guadalupe St
Suite 200
Austin, TX 78751-2928

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18141TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heinrich-Josey Orthopaedics, P.L.L.C CurrentSince Sep 3, 2024 Accepting new patients
Heinrich-Josey Orthopaedics CurrentSince Sep 3, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

4611 Guadalupe St
Ste 200
Austin, TX 78751
Phone (512) 583-4220

5329 Serene Hills Dr
Ste 202
Austin, TX 78738

715 Discovery Blvd
Ste 102
Cedar Park, TX 78613
Phone (512) 259-8222

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 and National Provider Directory roles.

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1902350606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 GUADALUPE ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512928",
            "telephone_number": "512-476-2830",
            "fax_number": "512-476-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 GUADALUPE ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512928",
            "telephone_number": "512-476-2830",
            "fax_number": "512-476-2832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5329 Serene Hills Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787381259",
            "country_code": "US",
            "telephone_number": "512-476-2830",
            "fax_number": "512-476-2832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Discovery Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132294",
            "country_code": "US",
            "telephone_number": "512-476-2830",
            "fax_number": "512-476-2832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "OWEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.