Individual provider Active NPI

Zane P. Osborne, M.D.

  • Emergency Medicine Physician
  • Bolingbrook, IL
National Provider Identifier
1679567069
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-103074 Issued in IL
Practice address
268 Butternut Dr
Bolingbrook, IL 60440-2614
Phone
(630) 346-1952
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-103074 IL Primary

Addresses

Primary practice location

268 Butternut Dr
Bolingbrook, IL 60440-2614

Mailing address

268 Butternut Dr
Bolingbrook, IL 60440-2614
Phone (630) 346-1952

Other identifiers 1

IdentifierTypeStateIssuer
036-103074MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20041027000217 SC Practitioner - Emergency Medicine 7315849866 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-103074ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Oct 1, 2017 Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Prisma Health-Upstate Current Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 1, 2017 Accepting new patients
Hampton Regional Medical Center Current Accepting new patients
United Physician Group LLC CurrentSince Apr 6, 2020 Accepting new patients
Hampton Regional Medical Center CurrentSince Dec 1, 2020 Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Greenville Health System CurrentSince Aug 4, 2014 Accepting new patients
Emergency Physician Specialists Inc Emergency Medicine Past Accepting new patients
Hoopeston Emergency Medicine Specialists, LTD. Emergency Medicine Past Accepting new patients
Mendota Community Hospital Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients
Robertson Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

13 Corporate Blvd NE
Ste 100
Brookhaven, GA 30329
Phone (229) 442-7210

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

7201 Brookfield Rd
Columbia, SC 29223
Phone (678) 505-9657

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

52 Bear Dr
Ste G
Greenville, SC 29605
Phone (864) 671-6492

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

116 Commons Blvd
Piedmont, SC 29673
Phone (864) 671-6492

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1679567069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 BUTTERNUT DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402614",
            "telephone_number": "630-346-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 BUTTERNUT DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402614",
            "telephone_number": "630-346-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "ZANE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-103074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-103074",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.