Individual provider Active NPI

Ross Quinn Osborn, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Fruit Cove, FL
National Provider Identifier
1528042496
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME89577 Issued in FL
Practice address
201 Village Oaks Dr
Fruit Cove, FL 32259-3876
Phone
(904) 240-0442
Fax
(904) 240-2471
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X ME89577 FL Primary

Addresses

Primary practice location

201 Village Oaks Dr
Fruit Cove, FL 32259-3876

Mailing address

201 Village Oaks Dr
Fruit Cove, FL 32259-3876
Phone (904) 240-0442

Other practice location 1

4255 US 1 S Ste 10
St Augustine, FL 32086-7000
Phone (904) 240-0565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040724000054 FL Practitioner - Family Practice 8426038936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Health and Sports Medicine LLCGroup PAC ID 0547392201, 4 clinicians

Practice addresses (Care Compare)

201 Village Oaks Dr
Jacksonville, FL 32259-3876

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Health & Sports Medicine LLC CurrentSince Jun 1, 2010 Accepting new patients

Locations

4255 US Highway 1 S
Ste 10
Saint Augustine, FL 32086
Phone (904) 240-0442

115 Bartram Oaks Walk
Ste 104
St Johns, FL 32259
Phone (904) 240-0442

201 Village Oaks Dr
St Johns, FL 32259
Phone (904) 240-0442

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8428/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ross.osborn.2@8428.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1528042496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 VILLAGE OAKS DR",
            "city": "FRUIT COVE",
            "state": "FL",
            "postal_code": "322593876",
            "telephone_number": "904-240-0442",
            "fax_number": "904-240-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 VILLAGE OAKS DR",
            "city": "FRUIT COVE",
            "state": "FL",
            "postal_code": "322593876",
            "telephone_number": "904-240-0442",
            "fax_number": "904-240-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4255 US 1 S Ste 10",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320867000",
            "country_code": "US",
            "telephone_number": "904-240-0565",
            "fax_number": "904-240-0471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "ROSS",
        "middle_name": "QUINN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME89577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruit Cove, FL

Sources for this page

Verify at the official NPI Registry.