Active NPI
Robert P Osley, MD
- Family Medicine Physician
- Manchester, CT
National Provider Identifier
1336126812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 028080
- Practice address
- 256 North Main Street
Manchester, CT 06040 - Phone
- (860) 646-8595
- Fax
- (860) 645-3216
- NPI assigned
- Dec 27, 2005
- Last updated
- Oct 31, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 028080 | CT | Primary |
Addresses
Primary practice location
256 North Main Street
Manchester, CT 06040
Mailing address
256 North Main Street
Hartford Medical Group
Manchester, CT 06042
Phone (860) 696-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001280809 | Medicaid | CT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028080 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Physician Services PC | Family Medicine | Past | Accepting new patients |
| Prospect Manchester Hospital, Inc. | Past | Accepting new patients | |
| Healthwise Medical Associates, LLP | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hartford Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1164404117
Family Medicine
-
- Family Medicine Physician
- Vernon, CT
- NPI 1891749933
-
- Health Educator
- South Windsor, CT
- NPI 1821695222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1336126812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 NORTH MAIN STREET",
"address_2": "HARTFORD MEDICAL GROUP",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "06042",
"telephone_number": "860-696-2300",
"fax_number": "860-645-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 NORTH MAIN STREET",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "06040",
"telephone_number": "860-646-8595",
"fax_number": "860-645-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSLEY",
"first_name": "ROBERT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "028080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001280809",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.