OWENS, TOM N (MD)

Provider Demographics

• NPI: 1962683979
• Name: OWENS, TOM N (MD)
• Entity Type: Individual
• Prefix: DR
• First Name: TOM
• Middle Name: N
• Last Name: OWENS
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 2006 FRANKLIN ST SE
• Mailing Address - City: HUNTSVILLE
• Mailing Address - State: AL
• Mailing Address - Zip Code: 35801-4551
• Mailing Address - Country: US
• Mailing Address - Phone: 256-539-0457
• Mailing Address - Fax: 256-539-5827
• Practice Address - Street 1: 2006 FRANKLIN ST SE
• Practice Address - City: HUNTSVILLE
• Practice Address - State: AL
• Practice Address - Zip Code: 35801-4551
• Practice Address - Country: US
• Practice Address - Phone: 256-539-0457
• Practice Address - Fax: 256-539-5827
• Is Sole Proprietor?: No
• Enumeration Date: 2007-11-19
• Last Update Date: 2023-03-09

Provider Licenses

State	License ID	Taxonomies
AL	27189	2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AL	121269	Medicaid
AL	121278	Medicaid
AL	220012	Medicaid
AL	222990	Medicaid
AL	511-04910	Other	BCBS
AL	511-04911	Other	BCBS
AL	511-04912	Other	BCBS
AL	511-04913	Other	BCBS
AL	122636	Medicaid
AL	248115	Medicaid
AL	126966	Medicaid
AL	228059	Medicaid
AL	248795	Medicaid
AL	511-09822	Other	BCBS
AL	512-05164	Other	BCBS
AL	121162	Medicaid
AL	121445	Medicaid
AL	135723	Medicaid
AL	236940	Medicaid
AL	511-04915	Other	BCBS
AL	512-30571	Other	BCBS
AL	512-36329	Other	BCBS
AL	121267	Medicaid
AL	149596	Medicaid
AL	227539	Medicaid
AL	227593	Medicaid
AL	227644	Medicaid
AL	227821	Medicaid
AL	248221	Medicaid
TN	4272108	Other	BCBS
AL	121260	Medicaid
AL	121265	Medicaid
AL	128170	Medicaid
AL	160039	Medicaid
AL	219487	Medicaid
AL	228004	Medicaid
AL	228946	Medicaid
AL	238756	Medicaid
AL	248584	Medicaid
AL	249584	Medicaid
AL	121447	Medicaid
	12368481	Other	CAQH
AL	150861	Medicaid
AL	512-14821	Other	BCBS
AL	512-36128	Other	BCBS
AL	124579	Medicaid
AL	1518925	Medicaid
AL	227930	Medicaid
AL	511-14451	Other	BCBS
AL	512-36127	Other	BCBS