Magdy A. Osman, M.D.
Individual provider Active NPI Neurological Surgery Physician · Somerset, KY
NPI 1386910073 · NPPES record last updated Dec 27, 2012
Key facts
- NPI
- 1386910073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 32902 (KY)
- Practice address
- 75 Hail Knob Rd
Somerset, KY 42503-3434 - Phone
- (606) 678-9617
- Fax
- (606) 678-9619
- NPI assigned
- Mar 27, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200724002148 | MI | Practitioner - Neurosurgery | 8820234792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32902 | KY | MD | Neurological Surgery Physician |
| 291496-1205 | UT | MD | Neurological Surgery Physician |
| 0101055449 | VT | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiatry and Rehabilitation Associates LLC | Current |
Accepting new patients | |
| Osman Spine Clinic LLC | Current | Accepting new patients | |
| Physiatry and Rehabilitation Associates LLC | Past |
Accepting new patients | |
| Osman Medical Consultation | Past | Accepting new patients |
Locations
17000 Executive Plaza Dr
Dearborn, MI 48126
Phone (248) 429-9145
2700 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 212-0777
2700 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 212-0777
2328 Livernois Rd
Ste 1060
Troy, MI 48083
Phone (248) 212-0777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 32902 | KY | Yes |
| Neurological Surgery Physician | 207T00000X | 0101055449 | VT | |
| Neurological Surgery Physician | 207T00000X | 291496-1205 | UT |
Addresses
Primary practice location
75 Hail Knob Rd
Somerset, KY 42503-3434
Mailing address
574 Prairie Center Dr
#135-276
Eden Prairie, MN 55344-7930
Phone (917) 669-6304
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32902 | Other | KY | KY LICENSE |
Other providers in Somerset, KY
- Ohana LLC
- Amy Renee Oliver
- Rainer Allen Oliver
- Open Arms Recovery Center LLC
- Skyler K Orth
- Larry L. Oteham
- Byron M Owens
- Destiny Nicole Owens
- P D Patel MD PSC
- Patti Page
All providers in Somerset, KY · Neurological Surgery Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.