Edward W Osborn, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10783 Issued in OK

Practice address

1101 S Belmont Ave
Ste 205
Okmulgee, OK 74447-6315

Phone

(918) 756-8371

Fax

(918) 758-3437

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1477550119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S BELMONT AVE",
            "address_2": "STE 205",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476315",
            "telephone_number": "918-756-8371",
            "fax_number": "918-758-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S BELMONT AVE",
            "address_2": "STE 205",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476315",
            "telephone_number": "918-756-8371",
            "fax_number": "918-758-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "EDWARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "10783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Okmulgee Women'S Healthcare, P.C.
• Okmulgee-Okfuskee County Youth Services, Inc.
• Olakunle D. Ajanaku, MD. PC.
• Omh Home Health
• Benjamin O Opaleye
• Osu Center for Health Sciences
• Osumc Professional Services LLC
• Destinie Palmer
• Amy Cathryn Pangle
• Crystal Mae Parker

• Pediatrics Physician in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.