Jason Scott Ozbourn

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011964 Issued in IL

Practice address

715 Sheridan Dr
Benton, IL 62812-1047

Phone

(618) 927-2822

NPI assigned

Mar 17, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Ozbourn Chiropractic Clinic

  • Clinic/Center
  • Anna, IL
  • NPI 1811281728
  Medicare reassignment
• Koester Chiropractic & Family Health Center LLC

  • Chiropractor
  • Anna, IL
  • NPI 1407914955
  NPD (past)

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1437458304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TRANSCRAFT DR",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629062114",
            "telephone_number": "618-833-2179",
            "fax_number": "618-833-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SHERIDAN DR",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121047",
            "telephone_number": "618-927-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZBOURN",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038011964",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Healthcare of Mt Vernon Inc
• National Healthcare of Mt Vernon Inc
• Valentine Ogbodo, MD
• Christopher J Ostromecki, M.D.
• Colin Jacob Overstreet, DPT
• Lisa Page
• Patcholo Yap Paglinawan, PT
• Robert Parks, M.D.
• Petersen Health Operations, LLC
• Petersen Health Operations, LLC

• Chiropractor in Benton, IL
• Providers in Benton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.