Claire Laree Osborn, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

340075790 Issued in OH

Practice address

Activate Healthcare/500 W Mulberry St.
Suite 101
Bryan, OH 43506

Phone

(419) 519-3336

Fax

(419) 212-9219

NPI assigned

Jul 11, 2005

Last updated

Mar 17, 2018By the provider in NPPES

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 5

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: claire.osborn.1@14940.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Everside Health, LLC

  • Clinic/Center
  • Archbold, OH
  • NPI 1225572092
  NPD (past)
• Everside Health, LLC

  • Clinic/Center
  • Bryan, OH
  • NPI 1952834020
  NPD (past)
• Family Medicine Care, LLC

  • Family Medicine Physician
  • Beavercreek, OH
  • NPI 1447291950
  NPD (past)
• Fauster Cameron Inc.

  dba Defiance Clinic

  • Multi-Specialty Clinic/Center
  • Defiance, OH
  • NPI 1649253964
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841298296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ACTIVATE HEALTHCARE/ 500 W MULBERRY ST.",
            "address_2": "SUITE 101",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "43506",
            "telephone_number": "419-519-3336",
            "fax_number": "419-212-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ACTIVATE HEALTHCARE/500 W MULBERRY ST.",
            "address_2": "SUITE 101",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "43506",
            "telephone_number": "419-519-3336",
            "fax_number": "419-212-9219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Activate Healthcare",
            "address_2": "213 Nolan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Archbold",
            "state": "OH",
            "postal_code": "435028404",
            "country_code": "US",
            "telephone_number": "567-444-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435122440",
            "country_code": "US",
            "telephone_number": "419-784-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "CLAIRE",
        "middle_name": "LAREE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "340075790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341935880034",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000333911",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1104132",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7713416",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366309",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Ohio Chiropractic, Inc.
• Mikki Jo Nye
• Sara Louise Nye, NP
• Ohio CVS Stores LLC (CVS Pharmacy 06181)
• Eiad Omran, MD
• P & R Home IV Service, Inc. (P & R Medical Connection)
• Satinder K Pandher, DMD
• Kori L. Panico, NP
• Kevin L Park, MD
• Danyel Renae Parker, FNP-C

• Family Medicine Physician in Bryan, OH
• Providers in Bryan, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.