Individual provider Active NPI

Timothy Barton Osbon, MD, MS

  • Emergency Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1336179399
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25298 Issued in SC
Practice address
1156 Bowman Rd Unit 103
Mount Pleasant, SC 29464-3803
Phone
(843) 654-7337
NPI assigned
Jul 4, 2006
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25298 SC Primary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 25298 SC

Addresses

Primary practice location

1156 Bowman Rd Unit 103
Mount Pleasant, SC 29464-3803

Mailing address

1156 Bowman Rd Unit 103
Mount Pleasant, SC 29464-3803
Phone (843) 654-7337

Other identifiers 1

IdentifierTypeStateIssuer
252988MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000205 SC Practitioner - Emergency Medicine 0840223574 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
25298SCMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Healthcare Physical Medicine, LLC CurrentSince Apr 13, 2016 Accepting new patients
Hampton Regional Medical Center Current Accepting new patients
Hampton Regional Medical Center CurrentSince Mar 6, 2019 Accepting new patients
Hampton Regional Medical Center Past Accepting new patients

Locations

1300 Hospital Dr
Ste 220
Mt Pleasant, SC 29464
Phone (843) 881-5773

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1336179399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 BOWMAN RD UNIT 103",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643803",
            "telephone_number": "843-654-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 BOWMAN RD UNIT 103",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643803",
            "telephone_number": "843-654-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBON",
        "first_name": "TIMOTHY",
        "middle_name": "BARTON",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "25298",
            "primary": true
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "SC",
            "license": "25298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252988",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.