ANDREW LYN OWEN (NPI# 1649709031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649709031 |
| Entity Type | Individual |
| Full Name | ANDREW LYN OWEN |
| Credential | PA |
| Practice Address |
550 Georgia St Starke FL 32091 |
| Mailing Address |
550 Georgia St Starke FL 32091-1816 |
| Practice Telephone | 9043642900 |
| Practice Fax Number | 9043642901 |
| Mailing Telephone | 3863363633 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2018-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021850300 | 05 | |
| FL | JB638Y | MEDICARE | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Sw Archer Rd, Gainesville, FL 326103003 | 3522655911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649789033 | Andrew James Owen | Chiropractor | 1134 Kildaire Farm Road, Cary, NC 27511 | 2017-09-28 |
| 1770018137 | Andrew Owen | Chiropractor | 822 Mercy Dr, Orlando, FL 32808 | 2017-04-24 |
| 1578740684 | Andrew Christian Owen | Family Medicine | 731 Claraday St, Apt 6, Glendora, CA 91740-6502 | 2008-01-31 |
| 1689029720 | Andrew Michael Owen | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1108 | 2016-04-26 |
| Street Address |
550 GEORGIA ST |
| City | STARKE |
| State | FL |
| Zip Code | 32091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689735623 | Breann Garbas | Physician Assistant | 550 Georgia St, Starke, FL 32091-1816 | 2006-12-13 |
| 1194356139 | Ester Shupe | Nurse Practitioner | 550 Georgia St, Starke, FL 32091-1816 | 2020-01-29 |
| 1164064804 | Tiffany N Rogers | Nurse Practitioner | 550 Georgia St, Starke, FL 32091-1816 | 2019-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548758428 | North Florida Pediatrics, Pa | Pediatrics | North Florida Pediatrics, Pa, 417 East Call Street, Starke, FL 32091 | 2018-04-26 |
| 1568849313 | Myhealth Medical Association | Clinical Nurse Specialist | 3900 Se 38th Ave, Starke, FL 32091 | 2015-04-30 |
| 1801043641 | Michael Leonard Schlofman | Optometrist | 292 Lafayette St, Starke, FL 32091 | 2008-08-22 |
| 1790945236 | Nf Windsor LLC | Skilled Nursing Facility | 602 E. Laura Street, Starke, FL 32091 | 2008-06-09 |
| 1457564312 | Betsy Regina Ledbetter | Developmental Therapist | 417 W. Call St., Starke, FL 32091 | 2007-05-08 |
| 1841322245 | Melissa Diane Smith | Massage Therapist | 9551 Nw Cr 225, Starke, FL 32091 | 2007-03-12 |
| 1619010220 | Sunil Choudary Paladugu | Pharmacist | 470 W Madison St., Starke, FL 32091 | 2007-02-14 |
| 1043356215 | Shri Sairam Drugs LLC | Pharmacy | 395 W Madison St, Starke, FL 32091 | 2007-01-29 |
| 1962582742 | Virgil A Berry Jr. | Chiropractor | 601 E Call St, Starke, FL 32091 | 2006-10-16 |
| 1497786099 | Thomas Joseph Collins | Physician Assistant | 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 | 2006-07-05 |
| Find all providers in zip 32091 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497786099 | Thomas Joseph Collins | Physician Assistant | 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 | 2006-07-05 |
| 1528021250 | Frederick Jason Mcnew | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2006-04-12 |
| 1003351818 | Bradford Emergency Group LLC | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2017-01-03 |
| 1972930717 | Qazim Salia | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2013-10-10 |
| 1619287158 | Ipn Emergency Physicians of North Florida Pa | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2010-10-18 |
| 1720243975 | Jenny Maria Dodson | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2008-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1922609114 | Jeannine Castaneda Calderon | Physician Assistant | 816 Arbor Pointe Ave, Minneola, FL 34715-6052 | 2020-11-04 |
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
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| 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.