Individual provider Active NPI

Sosian A Osman

  • Driver
  • Phoenix, AZ
National Provider Identifier
1487989372
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
141150-5 Issued in AZ
Practice address
4724 E. Briarwood Ter
Phoenix, AZ 85048-0152
Phone
(602) 277-5944
Fax
(602) 277-5878
NPI assigned
Oct 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 141150-5 AZ Primary

Addresses

Primary practice location

4724 E. Briarwood Ter
Phoenix, AZ 85048-0152

Mailing address

4724 E Briarwood Ter
Phoenix, AZ 85048-0152
Phone (602) 277-5944

Other identifiers 1

IdentifierTypeStateIssuer
299640MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
141150-5AZMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1487989372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 E BRIARWOOD TER",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480152",
            "telephone_number": "602-277-5944",
            "fax_number": "602-277-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 E. BRIARWOOD TER",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480152",
            "telephone_number": "602-277-5944",
            "fax_number": "602-277-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "SOSIAN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "AZ",
            "license": "141150-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299640",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.