Provider Demographics
NPI:1891816146
Name:CARTER OWENS, RENEE NAOMI (MD)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:NAOMI
Last Name:CARTER OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:RENEE
Other - Middle Name:NAOMI
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-922-0527
Mailing Address - Fax:443-843-6653
Practice Address - Street 1:100 KINGS HWY S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-5504
Practice Address - Country:US
Practice Address - Phone:585-922-4715
Practice Address - Fax:585-922-5114
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302874208M00000X, 208M00000X
MDD70912208600000X
PAMT185913208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208600000XAllopathic & Osteopathic PhysiciansSurgery