Individual provider Active NPI

John C Osborne, M.D.

  • Orthopaedic Surgery Physician
  • New Iberia, LA
National Provider Identifier
1619940889
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.14563R Issued in LA
Practice address
2308 E Main St Ste C
New Iberia, LA 70560-4029
Phone
(337) 369-1434
Fax
(337) 369-1436
NPI assigned
Feb 8, 2006
Last updated
Apr 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.14563R LA Primary

Addresses

Primary practice location

2308 E Main St Ste C
New Iberia, LA 70560-4029

Mailing address

2308 E Main St Ste C
New Iberia, LA 70560-4029
Phone (337) 369-1434

Other identifiers 1

IdentifierTypeStateIssuer
1140481MedicaidLA

Other names 1

  • Mrs. Mary Osborne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040621000624 LA Practitioner - Orthopedic Surgery 7012992472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Colorado School of Medicine, Denver, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iberia Medical Center Physician Practice NetworkGroup PAC ID 3476730847, 20 clinicians

Practice addresses (Care Compare)

New Iberia, LA 70560
Phone (337) 374-7104

2313 E Main St
Suite C
New Iberia, LA 70560-4091
Phone (337) 364-1734

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of Iberia Parish Current Accepting new patients
Iberia Medical Center Physician Practice Network Orthopaedic Surgery CurrentSince Mar 1, 2015 Accepting new patients

Locations

2313 E Main St
Ste C
New Iberia, LA 70560
Phone (337) 364-1734

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/ibermed-05842f36

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1619940889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 E MAIN ST STE C",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604029",
            "telephone_number": "337-369-1434",
            "fax_number": "337-369-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 E MAIN ST STE C",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604029",
            "telephone_number": "337-369-1434",
            "fax_number": "337-369-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "MD.14563R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1140481",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "OSBORNE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.