MR. JEREMY WAYNE OWEN (NPI# 1144881665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144881665 |
| Entity Type | Individual |
| Full Name | MR. JEREMY WAYNE OWEN |
| Credential | NP |
| Practice Address |
603 N Progress Ave Siloam Springs AR 72761-4352 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 4795244141 |
| Practice Fax Number | 4795492577 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2019035092 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 121399 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 609 W Maple Ave, Springdale, AR 727645335 | 4797515711 | 4797572919 |
| 3000 Medical Center Pkwy, Bentonville, AR 727123217 | 4795531000 | 4795531519 |
| Street Address |
603 N PROGRESS AVE |
| City | SILOAM SPRINGS |
| State | AR |
| Zip Code | 72761-4352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657324 | David William Dornhoffer | Nurse Anesthetist, Certified Registered | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2005-08-26 |
| 1699270140 | Daniel C Black | Physician Assistant | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2018-03-27 |
| 1407369390 | Siloam Springs Arkansas Hospital Company LLC | Medicare Defined Swing Bed Unit | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2017-11-14 |
| 1447798780 | Siloam Springs Anesthesia Services LLC | Anesthesiology | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2017-02-07 |
| 1699149633 | South Central Hospitalist LLP | Emergency Medicine | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2015-11-13 |
| 1255735973 | Scott William Babcock | Nurse Anesthetist, Certified Registered | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2014-10-09 |
| 1225452055 | South Arkansas Emergency Physicians, LLP | Hospitalist | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2014-02-14 |
| 1598030603 | Rebecca Marie Aleck | Internal Medicine | 603 N Progress Ave, Siloam Springs, AR 72761 | 2012-03-22 |
| 1639486665 | Joshua M. Hayes | Nurse Practitioner | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2010-09-13 |
| 1013155431 | Siloam Springs Clinic Company LLC | Anesthesiology | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2009-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285908 | Tripharma Inc. | Pharmacy | 310 N Progress Ave, Siloam Springs, AR 72761 | 2019-09-24 |
| 1861058547 | Oyenike Adigun-awonaike | Nurse Practitioner | 3271, Hwy 412, Siloam Springs, AR 72761 | 2019-05-17 |
| 1811551989 | Natasha Victoria Clayton | Registered Nurse | 3721 U.S. 412 Hwy, Siloam Springs, AR 72761 | 2019-04-24 |
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1689120222 | Wesley Phillip Horton | Speech-Language Pathologist | 501 W Elgin St, Siloam Springs, AR 72761 | 2016-09-01 |
| 1407216138 | Amy Bassarear | Social Worker | 1500 N Mount Olive St Ste 1, Siloam Springs, AR 72761 | 2016-02-23 |
| 1033584073 | Siloam Springs Clinic Company, LLC | Clinic/Center | 3721 East 412 Hwy, Suite B, Siloam Springs, AR 72761 | 2015-12-02 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1508258021 | Lifebridge Ar Counseling | Counselor | 301 East Ashley St., Siloam Springs, AR 72761 | 2015-02-20 |
| 1902176472 | Meghan Daley | Occupational Therapist | 918 South Mt Olive, Siloam Springs, AR 72761 | 2011-12-30 |
| Find all providers in zip 72761 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861058547 | Oyenike Adigun-awonaike | Nurse Practitioner | 3271, Hwy 412, Siloam Springs, AR 72761 | 2019-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1619574662 | Lindsey Paige Long | Nurse Practitioner | 3123 N Magnolia St, North Little Rock, AR 72116-9153 | 2020-10-02 |
| 1275151524 | Patricia Waller | Nurse Practitioner | 905 Long Branch Rd, Heber Springs, AR 72543-8305 | 2020-07-13 |
| 1659997351 | Amanda Cheatham | Nurse Practitioner | 16832 Prince Rd, Canehill, AR 72717-9415 | 2020-06-18 |
| 1073137212 | Lakeisha Shatara Falls | Nurse Practitioner | 11602 Shady Ridge Dr, Little Rock, AR 72211-4595 | 2020-06-03 |
| 1518581115 | Ragan Arrison | Nurse Practitioner | 365 Mapleleaf Cir, Hot Springs, AR 71901-3371 | 2020-05-31 |
| 1639799240 | Jessica Lee Crump | Nurse Practitioner | 1996 Highway 31 N, Beebe, AR 72012-9784 | 2020-04-23 |
| 1477183176 | Jennifer Leann Jay | Nurse Practitioner | 1501 S Waldron Rd Ste 200, Fort Smith, AR 72903-2565 | 2020-01-22 |
| 1164069969 | Morgan Wilkerson | Nurse Practitioner | 41 Weaver Cir, Vilonia, AR 72173-9014 | 2019-11-30 |
| 1881256220 | Felica Shunta Johnson | Nurse Practitioner | 311 Carson St, Bono, AR 72416-9605 | 2019-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SILOAM SPRINGS |
| Zip Code | 72761 |
Please comment or provide details below to improve the information on MR. JEREMY WAYNE OWEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.