Organization Active NPI

Susan P. Osborne, DO

  • Family Medicine Physician
  • Floyd, VA
National Provider Identifier
1659346872
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102036909 Issued in VA
Legal business name
SUSAN P. OSBORNE, DO
Practice address
274 Floyd Hwy S
Ste 102
Floyd, VA 24091-2348
Phone
(540) 745-6034
Fax
(540) 745-6033
NPI assigned
Feb 21, 2006
Last updated
Mar 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Dr. Susan Page Osborne, D.O.
Title
Medical Director
Phone
(540) 745-6034

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904002196 VA
Family Medicine Physician 207Q00000X 0102036909 VA Primary
Medical Physician Assistant 363AM0700X 0110840358 VA

Addresses

Primary practice location

274 Floyd Hwy S
Ste 102
Floyd, VA 24091-2348

Mailing address

PO Box 597
Floyd, VA 24091-0597
Phone (540) 745-6034

Other identifiers 1

IdentifierTypeStateIssuer
49D0951520OtherVACLIA #

Other names 1

  • The Barter Clinic Other name

National Provider Directory

National Provider Directory

Locations

121 Parkview Rd NE
Floyd, VA 24091
Phone (540) 745-6034

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1659346872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240910597",
            "telephone_number": "540-745-6034",
            "fax_number": "540-745-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 FLOYD HWY S",
            "address_2": "STE 102",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240912348",
            "telephone_number": "540-745-6034",
            "fax_number": "540-745-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN P. OSBORNE, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "540-745-6034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002196",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102036909",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110840358",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "49D0951520",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Barter Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Floyd, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.