Abdulahi Osman

Primary specialty

ContractorTaxonomy code 171W00000X

License

791703400022 Issued in MN

Practice address

248 Oak Dr
Eagle Lake, MN 56024-3404

Phone

(734) 548-2095

NPI assigned

Nov 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Heartland Service Group

  • Non-emergency Medical Transport (VAN)
  • Eagle Lake, MN
  • NPI 1225427180
  NPD (past) Authorized official

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1376940171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 OAK DR",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560243404",
            "telephone_number": "734-548-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 OAK DR",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560243404",
            "telephone_number": "734-548-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "ABDULAHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MN",
            "license": "791703400022",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "791703400022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Holter
• Anthony M McGowan, DC
• Madison Nohner, DDS
• Terese M Olson, DC
• Terry L Olson, DC
• Brianna Marie Prange, DNP, APRN, FNP-C
• Brandon Lane Sloniker, DC
• Southern Minn. Homecare LLC
• Southern Minnesota Home Care
• Andrew Vostad, DDS

• Contractor in Eagle Lake, MN
• Providers in Eagle Lake, MN by specialty
• Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.