Organization Active NPI

Susan Page Osborne

  • Durable Medical Equipment & Medical Supplies
  • Floyd, VA
National Provider Identifier
1336289990
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0102036909 Issued in VA
Legal business name
SUSAN PAGE OSBORNE
Practice address
274 Floyd Hwy S
Suite 102
Floyd, VA 24091-2391
Phone
(540) 745-6034
Fax
(540) 745-6033
NPI assigned
Feb 6, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Susan Osborne, DO
Title
Owner
Phone
(540) 745-6034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0102036909 VA Primary

Addresses

Primary practice location

274 Floyd Hwy S
Suite 102
Floyd, VA 24091-2391

Mailing address

PO Box 597
Floyd, VA 24091-0597
Phone (540) 745-6034

Other identifiers 1

IdentifierTypeStateIssuer
009112421MedicaidVA

Other names 1

  • The Barter Clinic Other name

National Provider Directory

National Provider Directory

Locations

602 E Main St
Floyd, VA 24091
Phone (540) 745-6034

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1336289990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240910597",
            "telephone_number": "540-745-6034",
            "fax_number": "540-745-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 FLOYD HWY S",
            "address_2": "SUITE 102",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240912391",
            "telephone_number": "540-745-6034",
            "fax_number": "540-745-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN PAGE OSBORNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-745-6034",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0102036909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009112421",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Barter Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Floyd, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.