David Carroll Osborne III, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

39749 Issued in WV

Practice address

4825 Maccorkle Ave SW Unit F
South Charleston, WV 25309-1365

Phone

(304) 346-9667

Fax

(304) 346-9717

NPI assigned

Jun 22, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1235815523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GERONIMO DR",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251773328",
            "telephone_number": "681-427-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 MACCORKLE AVE SW UNIT F",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091365",
            "telephone_number": "304-346-9667",
            "fax_number": "304-346-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "DAVID",
        "middle_name": "CARROLL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "39749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Orndorff
• John R. Orphanos, M.D.
• Orthoclinic
• Orthoclinic
• Bethany Osborne
• Debra Osborne
• Melissa D Osborne, LP
• Osterman Cotes, M.D. PLLC
• Alexander Vladimirovich Otellin, MD
• Aspen Otten-Schlinger

• Licensed Practical Nurse in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.