John Clark Osborn, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15646 Issued in OK

Practice address

310 2ND Ave SW
107-B
Miami, OK 74354-6743

Phone

(918) 540-7730

Fax

(918) 540-7797

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OK, MO2 enrollments

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 2

Specialty

Emergency Medicine

Education

University of Oklahoma College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integris Miami Hospital 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Home Care Northeast Home health agency, Miami, OK, CCN 377050
• Integris Hospice Northeast Hospice, Miami, OK, CCN 371586
• Integris Miami Hospital Hospital, Miami, OK, CCN 370004
• Integris Grove Hospital Hospital, Grove, OK, CCN 370113

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.clark.osborn.1@14940.direct.athenahealth.com
• Direct secure messaging: josborn12862@direct.integrisok.com

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.

• Integris Miami Hospital

  • Rural Health Clinic/Center
  • Miami, OK
  • NPI 1912508375

  OK

  Medicare reassignment Care Compare group NPD
• Integris Ambulatory Care Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936

  Family Medicine, OK

  Medicare reassignment NPD
• Freeman-Oak Hill Health System

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1891809679

  MO

  Medicare reassignment NPD
• Integris Miami Hospital

  • Rural Health Clinic/Center
  • Miami, OK
  • NPI 1992305627
  Care Compare group NPD
• Integris Miami Hospital

  • General Acute Care Hospital
  • Miami, OK
  • NPI 1114931342
  Care Compare group NPD (past)
• Integris Miami Hospital

  • Home Health Agency
  • Miami, OK
  • NPI 1194748319
  Care Compare group
• Integris Miami Hospital

  • Rural Health Clinic/Center
  • Miami, OK
  • NPI 1386245744
  Care Compare group
• Integris Miami Hospital

  • Community Based Hospice Care Agency
  • Miami, OK
  • NPI 1457368342
  Care Compare group
• Freeman-Oak Hill Health System

  • Multi-Specialty Clinic/Center
  • Joplin, MO
  • NPI 1679517023

  Family Medicine

  NPD
• Integris Baptist Regional Health Center

  • Emergency Care Clinic/Center
  • Miami, OK
  • NPI 1811952963
  NPD (past)
• Integris Rural Health Inc

  • Family Medicine Physician
  • Mustang, OK
  • NPI 1962403030

  Family Medicine

  NPD (past)

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

• Baptist Healthcare of Oklahoma, LLC

  • Home Health Agency
  • Grove, OK
  • NPI 1407860190
  Care Compare affiliation
• Integris Grove Hospital

  • General Acute Care Hospital
  • Grove, OK
  • NPI 1467473579

  Hospital

  Care Compare affiliation
• Integris Grove Hospital

  • Ambulance
  • Grove, OK
  • NPI 1770626608

  Hospital

  Care Compare affiliation
• Integris Miami Hospital

  • General Acute Care Hospital
  • Miami, OK
  • NPI 1114931342

  Hospital

  Care Compare affiliation
• Integris Miami Hospital

  • Home Health Agency
  • Miami, OK
  • NPI 1194748319
  Care Compare affiliation
• Integris Miami Hospital

  • Community Based Hospice Care Agency
  • Miami, OK
  • NPI 1457368342

  Hospice

  Care Compare affiliation
• Integris Miami Hospital

  • Ambulance
  • Miami, OK
  • NPI 1861534786

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1629044334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "918-540-7730",
            "fax_number": "918-540-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND AVE SW",
            "address_2": "107-B",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546743",
            "telephone_number": "918-540-7730",
            "fax_number": "918-540-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "JOHN",
        "middle_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "15646",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "15646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200468380O",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500156005",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207709718",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osborn Drugs Inc
• Osborn Drugs Inc
• Osborn Drugs Warehouse
• Jackson C Osborn
• James Mark Osborn, MD
• Thomas M Osborn, M.D.
• William Earl Osborn, PHARMD.
• Osu Center for Health Sciences
• Osu Center for Health Sciences
• Stephanie Pacheco

• All providers in Miami, OK
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.

Verify at the official NPI Registry.