Active NPI
Ian Charles Osborn, MD
- Psychiatry Physician
- Albuquerque, NM
National Provider Identifier
1285655837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 90-92
- Practice address
- 5901 Zuni Rd SE
Albuquerque, NM 87108-3073 - Phone
- (505) 841-8978
- NPI assigned
- Jul 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 90-92 | NM | Primary |
| Psychiatry Physician | 2084P0800X | MD015381E | PA |
Addresses
Primary practice location
5901 Zuni Rd SE
Albuquerque, NM 87108-3073
Mailing address
5901 Zuni Rd SE
Albuquerque, NM 87108-3073
Phone (505) 841-8978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1285655837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 ZUNI RD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871083073",
"telephone_number": "505-841-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 ZUNI RD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871083073",
"telephone_number": "505-841-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "IAN",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "90-92",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD015381E",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.