Individual provider Active NPI

Dianna G Osborn, MD

  • Emergency Medicine Physician
  • Florence, AL
National Provider Identifier
1194729806
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15167 Issued in AL
Practice address
205 Marengo St
Florence, AL 35630-6033
Phone
(866) 313-5265
Fax
(205) 313-5298
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15167 AL Primary

Addresses

Primary practice location

205 Marengo St
Florence, AL 35630-6033

Mailing address

PO Box 786
Birmingham, AL 35201-0786
Phone (866) 313-5265

Other identifiers 5

IdentifierTypeStateIssuer
009984895MedicaidAL
051527673OtherALBCBS
51526778OtherALCHG BCBSAL
051527673MedicaidAL
5556007OtherALAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001522 AL Practitioner - Emergency Medicine 9830187442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Alabama School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens-Limestone ER PhysiciansGroup PAC ID 6204084502, 17 clinicians

Practice addresses (Care Compare)

700 W Market St
Athens, AL 35611-2457
Phone (256) 233-9292

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15167ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens-Limestone ER Physicians Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Mar 20, 2016 Accepting new patients
Correct Care, Inc. Emergency Medicine Past Accepting new patients
North Alabama Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

Networks

  • bcbs alabama network 01B0
  • bcbs alabama network 01G0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01H0

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1194729806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352010786",
            "telephone_number": "866-313-5265",
            "fax_number": "205-313-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARENGO ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306033",
            "telephone_number": "866-313-5265",
            "fax_number": "205-313-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "DIANNA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "15167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009984895",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051527673",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHG BCBSAL",
            "identifier": "51526778",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051527673",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5556007",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.