Stavroula K Osganian, MD, SCD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

58442 Issued in MA

Practice address

364 Worcester St
Southbridge, MA 01550-1328

Phone

(781) 400-6920

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547251200000",
    "number": "1679650410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 WORCESTER ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501328",
            "telephone_number": "781-400-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 WORCESTER ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501328",
            "telephone_number": "781-400-6920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-2463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSGANIAN",
        "first_name": "STAVROULA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD, SCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MA",
            "license": "58442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104806",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Young-Ho Oh, M.D.
• Haylee Olson
• Issam A Oneyssi, M.D.
• Luzaida Ortega
• Orthopedic Associates of So Worcester County PC
• Catherine E. Page, RD
• James Park, DMD
• Lydia Parzych, M.D.
• Adam A Paszkowski, M.D.
• Jahnavi Patel

• Public Health & General Preventive Medicine Physician in Southbridge, MA
• Providers in Southbridge, MA by specialty
• Public Health & General Preventive Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; 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.