Kevin A Osgood, MD

Primary specialty

Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X

License

MD12597 Issued in ME

Practice address

489 State St
Bangor, ME 04401-6674

Phone

(404) 660-7670

NPI assigned

Jul 27, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Hartwell Emergency Services, LLC

  • Nurse Practitioner
  • Hartwell, GA
  • NPI 1245272954
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1306860705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD STE 300",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016674",
            "telephone_number": "404-660-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSGOOD",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "ME",
            "license": "MD12597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000887884G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2029I35584",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Associates of Bangor, PA
• Eniye Osa-Iyare
• Peter Osberg, LCPC-C
• Jeffrey A Osborne, FNP, PMHNP
• Pius Amoateng Osei-Bagyina, MD, MPH
• Chad Osmars, PHARMD
• Susan G Ostertag, MD
• Sheryl Lyn Ostrow, LCSW
• Justin Otis, MD
• Wade Joel Otruba, M.D.

• Hospice and Palliative Medicine (Emergency Medicine) Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Hospice and Palliative Medicine (Emergency Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.