Edward O Osuigwe, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1206 Issued in TN

Practice address

2400 Patterson St
Suite 319
Nashville, TN 37203-1562

Phone

(615) 986-1256

Fax

(615) 383-0853

NPI assigned

Jan 8, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Isaac Spine Joint and Pain InstituteGroup PAC ID 1951547660, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJIBCA

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.

• Isaac Spine Joint & Pain Institute

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Nashville, TN
  • NPI 1538400668
  Medicare reassignment Care Compare group NPD
• Vanderbilt University Medical Center

  dba Vanderbilt Medical Group

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761
  Medicare reassignment NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1831247279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210127",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372210127",
            "telephone_number": "615-986-1256",
            "fax_number": "615-383-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 319",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-986-1256",
            "fax_number": "615-383-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUIGWE",
        "first_name": "EDWARD",
        "middle_name": "O",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA0000001206",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3665092",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Ossoff, MD
• Ossp Imaging of Nashville
• Travis John Osterman, D.O.
• Shanika Ostine
• Coadylynn Marie Ostrowski, APNP
• Othniel Care, LLC
• Amanda Otillio, PA-C
• Jaime Kaye Otillio, M.D.
• Nwanneamaka Ngozi Otiono
• Otn Care of TN II, LLC

• Surgical Physician Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Surgical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.