Individual provider Active NPI

Holly A Osborne, PA-C

  • Physician Assistant
  • Clay, WV
National Provider Identifier
1326398355
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
122 Center St
Clay, WV 25043-7046
Phone
(304) 587-7301
Fax
(304) 587-2464
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

122 Center St
Clay, WV 25043-7046

Mailing address

PO Box 147
Clay, WV 25043-0147
Phone (304) 587-7301

Other names 1

  • Holly A Legg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130110000293 WV Practitioner - Physician Assistant 6305099920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care of West Virginia, Inc.Group PAC ID 0446232987, 89 clinicians

Practice addresses (Care Compare)

122 Ctr St
Clay, WV 25043-7046
Phone (304) 587-7301

Hospital & facility affiliations

  • St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Braxton County Memorial Hospital, Inc Hospital, Gassaway, WV, CCN 511308
  • Montgomery General Hospital Hospital, Montgomery, WV, CCN 511318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1675WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 8, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia Inc Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia Inc CurrentSince Feb 8, 2014 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Feb 8, 2014 Accepting new patients
Community Care of West Virginia, Inc. Past Accepting new patients
Community Care of West Virginia, Inc. Past Accepting new patients
Community Care of West Virginia, Inc. Past Accepting new patients

Locations

16 College Ave
Buckhannon, WV 26201
Phone (304) 472-3310

4 Northridge Dr
Ste 118
Buckhannon, WV 26201
Phone (304) 473-1440

443 Lee Ave
Clarksburg, WV 26301
Phone (304) 326-7420

1 Eagle Way
#C
Clarksburg, WV 26301

271 Warrior Way
Dunmore, WV 24934
Phone (304) 799-0515

113 5th St
Gassaway, WV 26624
Phone (304) 364-5867

5917 Potomac Highlands Trl
Green Bank, WV 24944
Phone (304) 456-4348

4498 Potomac Highlands Trl
Green Bank, WV 24944
Phone (304) 456-5115

797 Clinic Dr
Ivydale, WV 25113
Phone (304) 286-4200

821 3rd Ave
Marlinton, WV 24954
Phone (304) 799-4404

926 5th Ave
Ste A
Marlinton, WV 24954
Phone (304) 799-4916

1302 Buckhannon Pike
Nutter Fort, WV 26301
Phone (304) 326-7501

78 Queens Alley Rd
Rock Cave, WV 26234

78 Jerry Toth Dr
Shinnston, WV 26431
Phone (304) 592-5022

200 Tetrick Rd
Shinnston, WV 26431
Phone (304) 326-7280

235 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-4400

266 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-0351

100 Carter Braxton Dr
Sutton, WV 26601
Phone (304) 765-2644

149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

Interoperability endpoints

  • Direct secure messaging: holly.osborne.1@4803.direct.athenahealth.com

Organizations & group practices 50

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.

View all 50

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1326398355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250430147",
            "telephone_number": "304-587-7301",
            "fax_number": "304-587-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CENTER ST",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250437046",
            "telephone_number": "304-587-7301",
            "fax_number": "304-587-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "HOLLY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "LEGG",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clay, WV

Sources for this page

Verify at the official NPI Registry.