Basic Information
| Provider Information | |||||||||
| NPI: | 1487881934 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OWINGS | ||||||||
| FirstName: | FRANCIS | ||||||||
| MiddleName: | PATTERSON | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | OWINGS | ||||||||
| OtherFirstName: | F | ||||||||
| OtherMiddleName: | PATTERSON | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2880 TRICOM ST | ||||||||
| Address2: | |||||||||
| City: | NORTH CHARLESTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294069171 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8437975050 | ||||||||
| FaxNumber: | 8437973633 | ||||||||
| Practice Location | |||||||||
| Address1: | 2880 TRICOM ST | ||||||||
| Address2: | |||||||||
| City: | NORTH CHARLESTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294069171 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8437975050 | ||||||||
| FaxNumber: | 8437973633 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2009 | ||||||||
| LastUpdateDate: | 03/11/2020 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | M | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 03/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 39999 | SC | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XS0106X | 39999 | SC | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
ID Information
| ID | Type | State | Issuer | Description | 1902246077 | 01 | SC | ARCIS HEALTHCARE GROUP NPI | OTHER | 5699155 | 01 | SC | UNITED HEALTHCARE PROVIDER ID | OTHER | 45168 | 01 | SC | ARCIS HEALTHCARE GROUP MULTIPLAN ID NO. | OTHER | GP6337 | 01 | SC | ARCIS HEALTHCARE GROUP SC MEDICAID NO. | OTHER | D043 | 01 | SC | ARCIS HEALTHCARE GROUP MEDICARE PTAN | OTHER | 399991 | 05 | SC | MEDICAID | DU4331 | 01 | SC | ARCIS HEALTHCARE GROUP RAILROAD MEDICARE PTAN | OTHER | 1255195 | 01 | SC | WELLCARE OF SC PROVIDER ID | OTHER |