Individual provider Active NPI

James M Osborn, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
National Provider Identifier
1366417396
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
33896 Issued in TN
Practice address
102 Dunhill PL NW
Suite a
Cleveland, TN 37311-3885
Phone
(423) 728-1650
Fax
(423) 728-1655
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 33896 TN Primary

Addresses

Primary practice location

102 Dunhill PL NW
Suite a
Cleveland, TN 37311-3885

Mailing address

102 Dunhill PL NW
Ste a
Cleveland, TN 37311-3885
Phone (423) 728-1650

Other identifiers 2

IdentifierTypeStateIssuer
3149288OtherTNBCBST
3854437MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100505000886 TN Practitioner - Orthopedic Surgery 9335289818 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33896TNMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 1, 2011 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 1, 2011 Accepting new patients
Comprehensive Spine Institute, LLC Past Accepting new patients

Locations

979 E 3rd St
Ste C225
Chattanooga, TN 37403
Phone (423) 778-5995

979 E 3rd St
Ste 200
Chattanooga, TN 37403
Phone (423) 778-2570

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2700 Westside Dr NW
Ste 206B
Cleveland, TN 37312
Phone (423) 479-6821

Interoperability endpoints

  • Direct secure messaging: josborn@clevelandspine.mdlogic.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1366417396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DUNHILL PL NW",
            "address_2": "STE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113885",
            "telephone_number": "423-728-1650",
            "fax_number": "423-728-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DUNHILL PL NW",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113885",
            "telephone_number": "423-728-1650",
            "fax_number": "423-728-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TN",
            "license": "33896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "3149288",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3854437",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.