Jeffrey A Osbourne, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

681-025 Issued in WI

Practice address

3870 South 108TH Street
Greenfield, WI 53228-1308

Phone

(414) 327-2770

Fax

(414) 327-0338

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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.

• Alan L Balkansky DPM SC

  • Podiatric Clinic/Center
  • Grafton, WI
  • NPI 1659569705
  NPD (past)
• Alan L Balkansky Dpmsc

  • Podiatrist
  • Milwaukee, WI
  • NPI 1326124694
  NPD (past)
• Douglas L Kincaid DPM

  • Foot & Ankle Surgery Podiatrist
  • Greenfield, WI
  • NPI 1154535466
  NPD (past) Foot & Ankle Surgery
• Asg Onsite Podiatry of Ia 1 PC

  • Podiatrist
  • Chicago, IL
  • NPI 1598016503
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2008.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1831284470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 SOUTH 108TH STREET",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281308",
            "telephone_number": "414-327-2770",
            "fax_number": "414-327-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 SOUTH 108TH STREET",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281308",
            "telephone_number": "414-327-2770",
            "fax_number": "414-327-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBOURNE",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "681-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43219200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bisrat Oqubay
• Oral & Maxillofacial Surgery Consultants of Wisconsin, S.C.
• Melanie J Orlando
• Kathryn Rose Ortin, OTR
• Derek J Orton, MD
• Randall Curtiss Pack, DDS
• Shari Marie Pack, COTA
• Pain Management Center of Wisconsin,S.C.
• Adam Pampori, MD
• Alexandra Pankowski

• All providers in Greenfield, WI
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.