Organization Active NPI

Osborne Orthopedic Group Inc.

  • Orthopaedic Surgery Physician
  • Norfolk, VA
National Provider Identifier
1215138508
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101050384 Issued in VA
Legal business name
OSBORNE ORTHOPEDIC GROUP INC.
Practice address
1701 Church St Ste a
Norfolk, VA 23504-2304
Phone
(757) 548-7190
Fax
(757) 548-7191
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

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

Authorized official

Name
Dr. Tommy Taylor Osborne II, MDNPI 1598768103
Title
President
Phone
(757) 777-4110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0101050384 VA
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 0101050384 VA Primary

Addresses

Primary practice location

1701 Church St Ste a
Norfolk, VA 23504-2304

Mailing address

1701 Church St Ste a
Norfolk, VA 23504-2304
Phone (757) 548-7190

Other identifiers 5

IdentifierTypeStateIssuer
6402950MedicaidVA
10255350MedicaidVA
006402958MedicaidVA
1598768103MedicaidVA
362091900OtherOWCP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050413000532 VA Part B Supplier - Clinic/Group Practice 6305883190 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA
O20100930097610 VA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6305883190 Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory
Tax ID family
Osborne Orthopedic Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

216 Mason Ave
Cape Charles, VA 23310
Phone (757) 331-1422

612 Kingsborough Sq
Ste 201
Chesapeake, VA 23320

612 Kingsborough Sq
Ste 202
Chesapeake, VA 23320
Phone (757) 673-8562

1101 Executive Blvd
Ste D
Chesapeake, VA 23320
Phone (757) 548-7190

125 Saint Pauls Blvd
Ste 150
Norfolk, VA 23510
Phone (757) 548-7190

301 Riverview Ave
Ste 520
Norfolk, VA 23510
Phone (757) 484-2001

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637366400000",
    "number": "1215138508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CHURCH ST STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042304",
            "telephone_number": "757-548-7190",
            "fax_number": "757-548-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CHURCH ST STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042304",
            "telephone_number": "757-548-7190",
            "fax_number": "757-548-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORNE ORTHOPEDIC GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-777-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101050384",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101050384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402950",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10255350",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006402958",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598768103",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "362091900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.