Active NPI
Michael Todd Osborne, CRNA
- Certified Registered Nurse Anesthetist
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 18754
- Practice address
- 110 29TH Ave N Ste 202
Nashville, TN 37203-1448 - Phone
- (615) 327-4304
- Fax
- (615) 327-7940
- NPI assigned
- Oct 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 18754 | TN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 1113324 | KY |
Addresses
Primary practice location
110 29TH Ave N Ste 202
Nashville, TN 37203-1448
Mailing address
PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258
Other practice location 1
350 Park St
Suite 203B
Bowling Green, KY 42101-1784
Phone (270) 393-1912 ext. 4
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4305 New Shepherdsville Rd
Bardstown, KY 40004-9019
Phone (502) 350-5032
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1113324 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia & Pain Specialists of Bowling Green PLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Nashville General Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Physynergy, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Physynergy, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
3475 Blazer Pkwy
Lexington, KY 40509
Phone (859) 514-0260
3480 Yorkshire Medical Park
#100
Lexington, KY 40509
Phone (859) 514-0260
2115 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-2520
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000
1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000
2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488
989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112
225 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5000
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500
Interoperability endpoints
- mosborne454300@direct.stlukeshealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1568551455
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shelbyville, TN
- NPI 1124455969
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bowling Green, KY
- NPI 1548253107
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1134465560
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bardstown, KY
- NPI 1871588772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1093091944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6210",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874996210",
"telephone_number": "505-609-2258",
"fax_number": "505-609-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 29TH AVE N STE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031448",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940"
}
],
"practiceLocations": [
{
"address_1": "350 Park St",
"address_2": "Suite 203B",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421011784",
"country_code": "US",
"telephone_number": "270-393-1912 x4",
"fax_number": "270-393-1913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSBORNE",
"first_name": "MICHAEL",
"middle_name": "TODD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-24",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "18754",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1113324",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.