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JERRY ELLEN OWENSBY M.D. P.C. NPI 1598797003


NPI Information

NPI: 1598797003
Provider Name: JERRY ELLEN OWENSBY, M.D., P.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
6242 E ARBOR AVE
SUITE 111
MESA, AZ
ZIP 85206
Phone: (480) 610-8183
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JERRY ELLEN OWENSBY, M.D., P.C. is an internal medicine in Mesa, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JERRY ELLEN OWENSBY, M.D., P.C. NPI is 1598797003. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6242 E ARBOR AVE
SUITE 111
MESA, AZ
ZIP 85206-309
Phone: (480) 610-8183
Fax: (480) 610-8566

The provider's authorized official is Jerry Ellen Owensby .
The authorized official title is M.d. and has the following contact phone number (480) 610-8183.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 4/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine23843ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z110278MEDICARE PINARIZONA
21023413OTHERARIZONACIGNA
3AZ0838370OTHERARIZONABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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