RYAN CHRISTOPHER OWEN (NPI# 1679836977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679836977 |
| Entity Type | Individual |
| Full Name | RYAN CHRISTOPHER OWEN |
| Credential | MD |
| Practice Address |
3612 23rd St Lubbock TX 79410 |
| Mailing Address |
2215 Nashville Ave Lubbock TX 79410-1105 |
| Practice Telephone | 8067938787 |
| Practice Fax Number | 8067930150 |
| Mailing Telephone | 8067255844 |
| Mailing Fax Number | 8067236532 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2018-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | R7843 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 678734 | 01 |
| TX | BCBS | 8JR661 | 01 |
| NM | 91137870 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275820151 | Ryan Lee Owen | Dermatology | 725 S Dobson Rd Ste 200, Chandler, AZ 85224-5679 | 2011-06-29 |
| 1689231417 | Ryan Michael Owen | Internal Medicine | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2019-05-28 |
| 1750518759 | Ryan William Owen | Internal Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2009-06-17 |
| Street Address |
3612 23RD ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033117155 | James Frederick Kirk | Urology | 3612 23rd St, Lubbock, TX 79410-1326 | 2005-07-12 |
| 1346395167 | Kirk, Nicholson & Reynolds, L.l.p. | Urology | 3612 23rd St, Lubbock, TX 79410-1326 | 2007-01-24 |
| 1487652509 | Rex Hugh Reynolds | Urology | 3612 23rd St, Lubbock, TX 79410-1326 | 2005-07-12 |
| 1376541490 | Brian Emison Nicholson | Urology | 3612 23rd St, Lubbock, TX 79410-1326 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417191875 | James Thomas Cammack | Urology | Texas Tech University Health Sciences, Department of Urology 3601 4th Street Stop7260, Lubbock, TX 79430-7260 | 2009-04-28 |
| 1255519716 | Girish C. Vallabhan Md Pa | Urology | 3821 22nd St, Suite B, Lubbock, TX 79410-1113 | 2008-02-07 |
| 1003990433 | Cornerstone Urology Pllc | Urology | 3502 82nd St, Lubbock, TX 79423-1730 | 2006-10-24 |
| 1861506669 | Manoj P Khandheria | Urology | 2424 50th St Rm 301, Lubbock, TX 79412-2561 | 2006-08-18 |
| 1629012844 | Lubbock Urology Clinic, LLP | Urology | 6102 82nd St Ste 5, Lubbock, TX 79424-0803 | 2006-06-16 |
| 1841232923 | Jorge R Brothers | Urology | 418 N Utica Ave, Lubbock, TX 79416-3035 | 2006-06-12 |
| 1205875556 | Michael R Crone | Urology | 3601 4th St Stop 7260, Lubbock, TX 79430-7260 | 2006-06-05 |
| 1366428096 | Thomas C. Nicholson | Urology | 3612 23rd Street, Lubbock, TX 79410-1326 | 2005-12-15 |
| 1033117155 | James Frederick Kirk | Urology | 3612 23rd St, Lubbock, TX 79410-1326 | 2005-07-12 |
| 1982607586 | Girish Chiyyarath Vallabhan | Urology | 6102 82nd St, Suite 5, Lubbock, TX 79424-0802 | 2005-05-27 |
| Find all providers in LUBBOCK | ||||
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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.