Active NPI
John D Osland, MD
- Orthopaedic Surgery Physician
- Bainbridge Island, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD60650967
- Practice address
- 1344 Wintergreen LN NE
Bainbridge Island, WA 98110 - Phone
- (206) 842-5632
- Fax
- (206) 842-5992
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 24179 | KS | |
| Orthopaedic Surgery Physician | 207X00000X | MD60650967 | WA | Primary |
Addresses
Primary practice location
1344 Wintergreen LN NE
Bainbridge Island, WA 98110
Mailing address
1344 Wintergreen LN NE
Bainbridge Island, WA 98110-5118
Phone (206) 842-5632
Other practice location 1
1947 Founders St
Wichita, KS 67206-3548
Phone (316) 689-9175
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100315980A | Medicaid | KS | |
| 12149388 | Other | KS | MULTIPLAN |
| 16960 | Other | KS | COVENTRY |
| 053669 | Other | KS | BCBS |
| 200385 | Other | KS | HPK |
| 10913 | Other | KS | PHS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of North Dakota School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clallam County Public Hospital District No 1
Practice addresses (Care Compare)
390 Founders Way
Forks, WA 98331-9062
Phone (360) 374-6998
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24179 | KS | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clallam County Public Hospital District No 1 | Current | Accepting new patients | |
| Clallam County Public Hospital District No 1 | Current | Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Orthopaedic Surgery | Past | Accepting new patients |
| Jefferson County Public Hospital District No 2 | Past | Accepting new patients |
Locations
530 Bogachiel Way
Forks, WA 98331
Phone (360) 374-5011
390 Founders Way
Forks, WA 98331
Phone (360) 374-6271
834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400
834 Sheridan St
#B
Port Townsend, WA 98368
Phone (360) 385-2204
Interoperability endpoints
- josland777543@direct.multicare.org
- https://api.qualifacts.org/api/fhir/forkshospital/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jefferson Healthcare
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
dba Clallam Bay Medical Clinic
- Rural Health Clinic/Center
- Clallam Bay, WA
- NPI 1235213034
-
dba Bogachiel Clinic
- Rural Health Clinic/Center
- Forks, WA
- NPI 1285683052
-
dba Jefferson Healthcare Express Clinic
- Rural Health Clinic/Center
- Port Townsend, WA
- NPI 1013421114
-
dba Ascension Via Christi Physician Group
- Family Medicine Physician
- Wichita, KS
- NPI 1871589333
Orthopaedic Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Forks Community Hospital
- Critical Access Hospital
- Forks, WA
- NPI 1891879680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1598792129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1344 WINTERGREEN LN NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981105118",
"telephone_number": "206-842-5632",
"fax_number": "206-842-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1344 WINTERGREEN LN NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "98110",
"telephone_number": "206-842-5632",
"fax_number": "206-842-5992"
}
],
"practiceLocations": [
{
"address_1": "1947 Founders St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672063548",
"country_code": "US",
"telephone_number": "316-689-9175",
"fax_number": "316-613-4735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSLAND",
"first_name": "JOHN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "24179",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD60650967",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100315980A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12149388",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "16960",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "053669",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPK",
"identifier": "200385",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "10913",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
- Leonel Oliveros-Rosen, M.D.
- Melanie Jo Olson, P.T.
- Theresa V Olson, PT
- Orlando J Fugaro DDS MSD PS (Eagle Harbor Dental)
- Jacqueline S Osland, MD
- Pacific Eyecare of Poulsbo PS (Pacific Optical)
- Pacific Northwest Psychotherapy
- Pacific Northwest Psychotherapy
- Pamela Malo PLLC (Northstar Nutrition)
- Papaya Dental Arts PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.