Kip Owen (NPI# 1669477709, PAC ID# 3173506334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1669477709 |
| PAC ID by PECOS | 3173506334 |
| Professional Enrollment ID | I20040609000590 |
| Full Name | Kip Owen |
| Organization Legal Name | RENAISSANCE PROVIDERS |
| Address |
5540 Raphael Dr Edinburg TX 78539-1407 |
| Phone Number | 9563622171 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3476877879 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450869 | DOCTORS HOSPITAL AT RENAISSANCE |
| Address | Phone | Organization |
|---|---|---|
| 5540 Raphael Dr, Edinburg, TX 78539-1407 | 9563622171 | RENAISSANCE PROVIDERS |
| Organization Legal Name | RENAISSANCE PROVIDERS |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis C Juarez Jr. | Physician Assistant | Renaissance Providers | 5519 Doctors Dr, Edinburg, TX 78539-5563 |
| Patrick W Sander | Orthopedic Surgery | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Haissam S Elzaim | Orthopedic Surgery | Renaissance Providers | 315 E Palm Dr B, Edinburg, TX 78539-6355 |
| Jaime Villarreal Jr. | Orthopedic Surgery | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Salvador Mendez | Orthopedic Surgery | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Esteban D Cortez | Physician Assistant | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Nicole A Saladino | Physician Assistant | Renaissance Providers | 5519 Doctors Dr, Edinburg, TX 78539-5563 |
| Matthew B Martinez | Physician Assistant | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Brenda Lee Sandragorsian | Physician Assistant | Renaissance Providers | 5519 Doctors Dr, Edinburg, TX 78539-5563 |
| Michael Serra Torres | Orthopedic Surgery | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Street Address |
5540 RAPHAEL DR |
| City | EDINBURG |
| State | TX |
| Zip | 78539-1407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick W Sander | Orthopedic Surgery | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Jaime Villarreal Jr. | Orthopedic Surgery | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Salvador Mendez | Orthopedic Surgery | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Esteban D Cortez | Physician Assistant | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Matthew B Martinez | Physician Assistant | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Michael Serra Torres | Orthopedic Surgery | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Carissa Kirk | Orthopedic Surgery | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Manuel Luna | Nurse Practitioner | Renaissance Providers | 5540 Raphael Dr, Edinburg, TX 78539-1407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison H Garza | Family Medicine | 2046 S Mccoll Rd, Edinburg, TX 78539-0228 | |
| Oscar J Garcia | Radiation Oncology | 2717 Michael Angelo, Edinburg, TX 78539-1403 | |
| Luis A Ramirez | Obstetrics/gynecology | Rodolfo M. Lozano Md Pa | 2821 Michael Angelo, Suite 100, Edinburg, TX 78539-1404 |
| Rodolfo M Lozano | Obstetrics/gynecology | Rodolfo M. Lozano Md Pa | 2821 Michael Angelo, Suite 100, Edinburg, TX 78539-1404 |
| Surya Narayan Mulukutla | Endocrinology | Renaissance Endocrinology | 2821 Michaelangelo Dr, Suite 102a, Edinburg, TX 78539-1404 |
| Cherie J Johnson | Obstetrics/gynecology | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 401, Edinburg, TX 78539-1405 |
| Ronald Yang | Physician Assistant | Ricardo Abreu, M.d., Pa | 2821 Michaelangelo Dr, Suite 303, Edinburg, TX 78539-1405 |
| Achal Parsotam Patel | Neurosurgery | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 304, Edinburg, TX 78539-1405 |
| Elissa Test Serapio | Obstetrics/gynecology | University of Texas Rio Grande Valley | 2821 Michaelangelo Dr, Suite 400, Edinburg, TX 78539-1405 |
| Stefan W Shuaib | Otolaryngology | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 303, Edinburg, TX 78539-1405 |
| Find all physicians in zip 78539 | |||
| City | EDINBURG |
| Zip Code | 78539 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | EDINBURG + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Kip Owen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.