Active NPI
John Andrew Osborne, MD
- Cardiovascular Disease Physician
- Grapevine, TX
National Provider Identifier
1114929718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- K4180
- Practice address
- 3801 William D Tate Ave Ste 850
Grapevine, TX 76051-8757 - Phone
- (817) 310-3070
- NPI assigned
- Aug 12, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | K4180 | TX | Primary |
| Nuclear Cardiology Physician | 207UN0901X | K4180 | TX |
Addresses
Primary practice location
3801 William D Tate Ave Ste 850
Grapevine, TX 76051-8757
Mailing address
3801 William D Tate Ave Ste 850
Grapevine, TX 76051-8757
Phone (817) 310-3070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101963003 | Medicaid | TX | |
| 101963004 | Medicaid | TX | |
| 101963005 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Medical Physician Group | Current | Accepting new patients | |
| Dallas Medical Physician Group | Cardiovascular Disease | Current | Accepting new patients |
| State of the Heart Cardiology | Current | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Cardiovascular Disease | Past | Accepting new patients |
Locations
3801 William D Tate Ave
Ste 850
Grapevine, TX 76051
Phone (817) 310-3070
5308 N Galloway Ave
Mesquite, TX 75150
Phone (972) 226-0505
Interoperability endpoints
- dmcjosbor@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Dallas, TX
- NPI 1033551312
-
- Medical Specialty Clinic/Center
- Grapevine, TX
- NPI 1952640781
-
- Internal Medicine Physician
- Plano, TX
- NPI 1861802902
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1114929718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 WILLIAM D TATE AVE STE 850",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518757",
"telephone_number": "817-310-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 WILLIAM D TATE AVE STE 850",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518757",
"telephone_number": "817-310-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "JOHN",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "K4180",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "TX",
"license": "K4180",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101963003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101963004",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101963005",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.