DR. TRAVON OWENS (NPI# 1952718975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952718975 |
| Entity Type | Individual |
| Full Name | DR. TRAVON OWENS |
| Credential | DPM |
| Practice Address |
4522 Westminster Ave Philadelphia PA 19131-5213 |
| Mailing Address |
4522 Westminster Ave Philadelphia PA 19131 |
| Practice Telephone | (424) 219-3697 |
| Mailing Telephone | (424) 219-3697 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC006603 | PA | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO-214 | HI | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8605 Macomb Ave, Cleveland, OH 441056018 | 4242193697 |
| Street Address |
4522 WESTMINSTER AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543109 | Kimberly Nguyen Dpm PC | Podiatrist | 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 | 2019-11-21 |
| 1811476658 | David Khakshoor | Podiatrist | 1703 Borbeck Ave Fl 1, Philadelphia, PA 19111-3514 | 2018-08-13 |
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1053835264 | Marvin Marcelin | Podiatrist | 5735 Ridge Ave Ste 208, Philadelphia, PA 19128-1747 | 2017-07-29 |
| 1598287054 | Taylor Wasserleben | Podiatrist | 235 N Broad St Ste 300, Philadelphia, PA 19107-1511 | 2017-07-16 |
| 1558675801 | Duane Romana | Podiatrist | 1865 Welsh Rd, Apt J-9, Philadelphia, PA 19115-4764 | 2010-07-28 |
| 1144532748 | Kimberly Hoang Nguyen | Podiatrist | 1311 South St, Philadelphia, PA 19147-1867 | 2010-07-12 |
| 1396973152 | Kwasi Y Kwaadu | Podiatrist | 148 N 8th Street, Philadelphia, PA 19107-2496 | 2009-06-30 |
| 1043453996 | Foot Health Centers, Pa | Podiatrist | 6911 Castor Ave, Philadelphia, PA 19149-1702 | 2009-04-08 |
| 1902044035 | Foot and Ankle Center of Philadelphia | Podiatrist | 235 N Broad Street, Suite 300, Philadelphia, PA 19107 | 2009-01-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
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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.