Michael A Osborne Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9489 Issued in FL

Practice address

50 Leanni Way
Unit D1
Palm Coast, FL 32137-4756

Phone

(386) 283-5997

Fax

(386) 283-5652

NPI assigned

Jan 15, 2008

Last updated

Sep 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Healthcare Partners, LLCGroup PAC ID 0244509149, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Healthcare Partners, LLC

  • General Practice Physician
  • Palm Coast, FL
  • NPI 1053762740
  Medicare reassignment Care Compare group NPD Authorized official
• Coastal Spine and Sport, LLC

  • Chiropractor
  • Palm Coast, FL
  • NPI 1841562410
  Authorized official Same address or phone
• Modern Health Chiropractic L.L.C

  dba Modern Health Chiropractic

  • Chiropractor
  • Orange City, FL
  • NPI 1861765646
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1205012689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT D1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374756",
            "telephone_number": "386-283-5997",
            "fax_number": "386-283-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY",
            "address_2": "UNIT D1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374756",
            "telephone_number": "386-283-5997",
            "fax_number": "386-283-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004398400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "003HV",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christina Orengo, M.S., CCC-SLP
• Jacqueline Orengo
• Jacqueline Orlando, APRN
• Orthopaedic Clinic of Daytona Beach PA
• Osl Palm Coast Operating LLC
• Rachel Osterhout, CCC/SLP
• Overlord LLC (Overlord Rehab)
• Ronaldo Pacifico
• Rosa Dilia Pacumio

• Chiropractor in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.

Verify at the official NPI Registry.