Active NPI
Timothy Barton Osbon, MD, MS
- Emergency Medicine Physician
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25298
- 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, 2014
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252988 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25298 | SC | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Healthcare Physical Medicine, LLC | Current | Accepting new patients | |
| Hampton Regional Medical Center | Current | Accepting new patients | |
| Hampton Regional Medical Center | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Mount Pleasant, SC
- NPI 1245697424
-
- Rural Acute Care Hospital
- Varnville, SC
- NPI 1487651949
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Mount Pleasant, SC
- NPI 1700336062
-
dba Coastal Plains Primary Care
- Rural Health Clinic/Center
- Varnville, SC
- NPI 1780744946
-
dba Hampton CRNA Services
- Certified Registered Nurse Anesthetist
- Varnville, SC
- NPI 1235172420
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.