Active NPI
David E. Owens, MD
- Otolaryngology Physician
- Roseburg, OR
National Provider Identifier
1982688099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD09605
- Practice address
- 1813 W Harvard Ave
Suite 201
Roseburg, OR 97471-2752 - Phone
- (541) 440-6390
- Fax
- (541) 440-6392
- NPI assigned
- Dec 1, 2005
- Last updated
- Oct 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD09605 | OR | Primary |
Addresses
Primary practice location
1813 W Harvard Ave
Suite 201
Roseburg, OR 97471-2752
Mailing address
PO Box 2346
Roseburg, OR 97470-0462
Phone (541) 440-6390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD09605 | Other | OR | OREGON MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9605 | OR | MD | Pharmacist |
| MD09605 | OR | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Medical Group, LLC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Roseburg, OR
- NPI 1346578861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1982688099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2346",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974700462",
"telephone_number": "541-440-6390",
"fax_number": "541-440-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 W HARVARD AVE",
"address_2": "SUITE 201",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974712752",
"telephone_number": "541-440-6390",
"fax_number": "541-440-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "DAVID",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OR",
"license": "MD09605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON MEDICAL BOARD",
"identifier": "MD09605",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
- Jazmin Rain Osorio Maciel
- Timothy Ostrander, PA
- Ulrike Elizabeth Ottenbreit, CADCII,CGACT
- Edward J Ottenheimer III, MD
- Margot Ouimette, PA
- Markelle Owens
- Janice Owings, FNP
- Pacific Crest Chiropractic and Wellness Center PC
- Pacific Healthcare Services, P.C. (White Oak Medical Center)
- Jessica Padilla, CADCII QMHAII PSS CH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.