Organization Active NPI

Stacy C Osborne

  • Podiatrist
  • Cincinnati, OH
National Provider Identifier
1700109568
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002140 Issued in OH
Legal business name
STACY C OSBORNE
Practice address
5521 Montgomery Rd
Cincinnati, OH 45212-1848
Phone
(513) 351-6300
Fax
(513) 351-9951
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Stacy OsborneNPI 1861495442
Title
DPM/Owner
Phone
(513) 351-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36002140 OH Primary

Addresses

Primary practice location

5521 Montgomery Rd
Cincinnati, OH 45212-1848

Mailing address

5521 Montgomery Rd
Cincinnati, OH 45212-1848
Phone (513) 351-6300

Other names 1

  • Dr Stacy Osborne Other name

National Provider Directory

National Provider Directory

Locations

5521 Montgomery Rd
Norwood, OH 45212
Phone (513) 351-6300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1700109568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121848",
            "telephone_number": "513-351-6300",
            "fax_number": "513-351-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121848",
            "telephone_number": "513-351-6300",
            "fax_number": "513-351-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY C OSBORNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "513-351-6300"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Stacy Osborne",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.