Individual
DR. TREVOR MARSHALL OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 510-6200
(540) 857-5306
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101251827
VA
207XX0801X
Orthopaedic Trauma Physician
0101251827
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1321288143
ANTHEM
VA
01
—
1821288143
VA PREMIER
VA
05
—
1821288143
—
VA
01
—
371194700
BLACK LUNG
VA
01
—
3810023893
MEDICAID OF WEST VIRGINIA
VA
01
—
540506332108
TRICARE/CHAMPUS
VA
01
—
P01115341
RAILROAD MEDICARE
VA
Enumeration date
08/01/2007
Last updated
04/28/2026
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