Active NPIIndividual provider

Mr. Randall L Owen, PA-C

Physician Assistant, Surgical in Hamden, Connecticut

NPI Number1437591971
Practice location
9 Washington Ave, Hamden, CT 06518-3267
Fax
203-865-6788
Last updated
June 29, 2021

Randall Lee Owen is a Physician Assistant, Surgical based in Hamden, CT. Randall Lee Owen practices in Hamden, CT and has the professional credentials of PA-C. The NPI Number for Randall Lee Owen is 1437591971 and holds a License No. MA056252 (PA). The current practice location address for Randall Lee Owen is 9 Washington Ave, Hamden, CT 06518-3267 and can be reached out via phone at 203-865-6784 and via fax at 203-865-6788.

Provider Profile Details

NPI Number
1437591971
Provider Name
Randall Lee Owen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
9 Washington Ave, Hamden, CT 06518-3267
Phone Number
203-865-6784
Fax Number
203-865-6788
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2013
Last Update Date
June 29, 2021
Certification Date
June 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Washington Ave
Hamden, CT 06518-3267
City
Hamden
Zip
06518-3267
Phone Number
203-865-6784
Fax Number
203-865-6788
Hamden, CT 06518Get directions →

Provider Business Mailing Address Details

Address
7 Montoya Dr
Branford, CT 06405-2533
City
Branford
State
CT
Zip
06405-2533
Phone Number
475-434-1183

License Information

License Number (1)
MA056252
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
0110004314
License State (2)
VA
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
23.003095
License State (3)
CT
Taxonomy (3)
Physician Assistant · 363A00000X
License Number (4)
23.003095
License State (4)
CT
Taxonomy (4)
Physician Assistant, Medical · 363AM0700X
License Number (5)
23.003095
License State (5)
CT
Taxonomy (5)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Randall L Owen, PA-C?

The NPI number of Mr. Randall L Owen, PA-C is 1437591971. It was assigned on July 25, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Randall L Owen, PA-C?

Mr. Randall L Owen, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in PA under license number MA056252.

Where does Mr. Randall L Owen, PA-C practice?

The practice location is 9 Washington Ave, Hamden, CT 06518-3267. The office can be reached at 203-865-6784 (phone) or 203-865-6788 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437591971 directly on the NPPES registry website.

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