Mohamed B.S. Osman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200201142 Issued in NC

Practice address

122 E Blue St
Saint Pauls, NC 28384-1812

Phone

(910) 865-5177

Fax

(910) 865-9400

NPI assigned

Sep 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Stedman-Wade Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wade, NC
  • NPI 1578534871
  NPD (past)
• Sunesis Comprehensive Care, PLLC

  dba Primary Care of St. Pauls

  • Primary Care Clinic/Center
  • Saint Pauls, NC
  • NPI 1649663030
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1366436024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9940",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119094",
            "telephone_number": "910-865-5177",
            "fax_number": "910-865-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E BLUE ST",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283841812",
            "telephone_number": "910-865-5177",
            "fax_number": "910-865-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "MOHAMED",
        "middle_name": "B.S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200201142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891330X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Marie Moore, PHARM.D
• Msa Home Health and Hospice of NC Inc (Medi Home Hospice)
• Andries Stefanus Nagel
• Duc Minh Tri Ngo
• Diamond Nowell
• Ravi Patel
• Pelham Home Health Services, Inc. (Pelham Home Health)
• Pelham Supportive Services
• Platinum Therapy & Performance Center LLC
• Primary Care of St. Pauls, LLC

• Family Medicine Physician in Saint Pauls, NC
• Providers in Saint Pauls, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.