Ryan C Owen (NPI# 1679836977, PAC ID# 9133362130) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1679836977 |
| PAC ID by PECOS | 9133362130 |
| Professional Enrollment ID | I20180713001245 |
| Full Name | Ryan C Owen |
| Organization Legal Name | COVENANT MEDICAL GROUP |
| Address |
3612 23rd St Lubbock TX 79410-1326 |
| Phone Number | 8067938787 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6901889393 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450040 | COVENANT MEDICAL CENTER |
| 450369 | CHILDRESS REGIONAL MEDICAL CENTER |
| 450162 | GRACE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3612 23rd St, Lubbock, TX 79410-1326 | 8067938787 | COVENANT MEDICAL GROUP |
| Organization Legal Name | COVENANT MEDICAL GROUP |
| Physicians | 185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David F Oakes | Cardiac Electrophysiology | Covenant Medical Group | 3506 21st St, Suite 302, Lubbock, TX 79410-1212 |
| Kyler W Barkley | Cardiovascular Disease (cardiology) | Covenant Medical Group | 3514 21st St, Lubbock, TX 79410-1210 |
| Joshua G Hill | Family Medicine | Covenant Medical Group | 611 N Frankford Ave, Lubbock, TX 79416-1545 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Kia M Ousley | Family Medicine | Covenant Medical Group | 1910 Quaker Ave, Suite 101, Lubbock, TX 79407-2447 |
| Jana C Ashburn | Nurse Practitioner | Covenant Medical Group | 3606 21st St, Suite 103, Lubbock, TX 79410-1226 |
| Kate E Barnett | Physical Therapy | Covenant Medical Group | 4404 19th St, Suite C, Lubbock, TX 79407-2424 |
| Cristan D Ledbetter | Nurse Practitioner | Covenant Medical Group | 4102 22nd Pl, Lubbock, TX 79410-1122 |
| Mary T Meyers-marquardt | Nurse Practitioner | Covenant Medical Group | 402 W Country Club Rd, Roswell, NM 88201-5247 |
| Street Address |
3612 23RD ST |
| City | LUBBOCK |
| State | TX |
| Zip | 79410-1326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Allison P Vaughn | Nurse Practitioner | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Amelia Jay | Nurse Practitioner | Covenant Medical Group | 2102 Oxford B, Lubbock, TX 79410 |
| Clinton G Wolboldt | Family Practice | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Darla K Walker | Nurse Practitioner | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Larry A Warmoth | Nephrology | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Melissa Mae Wotring-norman | Hospitalist | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Paul S Singh | Obstetrics/gynecology | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Lakhu J Rohra | Internal Medicine | 3802 21st St, Suite C, Lubbock, TX 79410-1011 | |
| Find all physicians in zip 79410 | |||
| City | LUBBOCK |
| Zip Code | 79410 |
| Specialty | UROLOGY |
| City + Specialty | LUBBOCK + UROLOGY |
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| 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.