Active NPI
John A Osborne, D.O.
- Surgery Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3305
- Practice address
- 4242 Farnam St
#370
Omaha, NE 68131 - Phone
- (402) 552-3078
- Fax
- (402) 552-3075
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 18, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3305 | TN | Primary |
Addresses
Primary practice location
4242 Farnam St
#370
Omaha, NE 68131
Mailing address
143 Kennedy Dr
Martin, TN 38237-3309
Phone (731) 587-5321
Other practice location 1
4242 Farnam St
#370
Omaha, NE 68131-2806
Phone (402) 552-3078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Rutgers School of Dental Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
164 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 285-5133
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 23 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 23 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 505 | NE | MD | Counselor |
| 3305 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WT Medical Associates | Current | Accepting new patients | |
| WT Medical Associates | Current | Accepting new patients |
Locations
420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133
143 Kennedy Dr
Martin, TN 38237
Phone (731) 587-5321
164 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-5900
Interoperability endpoints
- josborne18727@directepic.wth.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Dyersburg, TN
- NPI 1295223279
-
dba West Tennessee Medical Group Primary Care Halls
- Rural Health Clinic/Center
- Halls, TN
- NPI 1356176556
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
dba West Tennessee Healthcare Volunteer Hospital
- General Acute Care Hospital
- Martin, TN
- NPI 1275505372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1215021498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 KENNEDY DR",
"city": "MARTIN",
"state": "TN",
"postal_code": "382373309",
"telephone_number": "731-587-5321",
"fax_number": "731-587-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 FARNAM ST",
"address_2": "#370",
"city": "OMAHA",
"state": "NE",
"postal_code": "68131",
"telephone_number": "402-552-3078",
"fax_number": "402-552-3075"
}
],
"practiceLocations": [
{
"address_1": "4242 Farnam St",
"address_2": "#370",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681312806",
"country_code": "US",
"telephone_number": "402-552-3078",
"fax_number": "402-552-3075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSBORNE",
"first_name": "JOHN",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "3305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.
- 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.