NPIMap

Organization Active NPI

Osborne Orthopedic Group, Inc

  • Non-Pharmacy Dispensing Site
  • Norfolk, VA
National Provider Identifier
1013300128
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
0213001933 Issued in VA
Legal business name
OSBORNE ORTHOPEDIC GROUP, INC
Practice address
1701 Church St Ste a
Norfolk, VA 23504-2304
Phone
(757) 548-7190
Fax
(757) 548-7190
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tommy Taylor Osborne II, MDNPI 1598768103
Title
President/Ceo
Phone
(757) 777-4110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 0213001933 VA Primary

Addresses

Primary practice location

1701 Church St Ste a
Norfolk, VA 23504-2304

Mailing address

1701 Church St Ste a
Norfolk, VA 23504-2304
Phone (757) 548-7190

Other identifiers 2

IdentifierTypeStateIssuer
362091900OtherOWCP
1598768103MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Osborne Orthopedic Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 Church St
Ste A
Norfolk, VA 23504
Phone (757) 548-7190

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637366400000",
    "number": "1013300128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CHURCH ST STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042304",
            "telephone_number": "757-548-7190",
            "fax_number": "757-548-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CHURCH ST STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042304",
            "telephone_number": "757-548-7190",
            "fax_number": "757-548-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORNE ORTHOPEDIC GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "757-777-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "VA",
            "license": "0213001933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "362091900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598768103",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.