Jeffrey R Osworth, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601002855 Issued in MI

Practice address

770 Riverside Ave
Suite 207
Adrian, MI 49221-1476

Phone

(517) 264-1922

Fax

(517) 263-6456

NPI assigned

Jul 13, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mhni Pain Management, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Ann Arbor, MI
  • NPI 1144375999
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1861490831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GADY RD",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492219807",
            "telephone_number": "517-264-1922",
            "fax_number": "517-263-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 RIVERSIDE AVE",
            "address_2": "SUITE 207",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211476",
            "telephone_number": "517-264-1922",
            "fax_number": "517-263-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWORTH",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50001098",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Catherine Osborn
• Amanda Megan Osburn, BSW
• Traci Marie Osburn, PT
• Jason Osstifin, MSW
• Natalie Jeane Ost
• Josephine A Pabalan, M.D.
• Jonelle Pace
• Painless Dentistry V
• Michelle Lynne Palmer
• Joseph Palyj, BS, MS, NREMT, ATC

• Medical Physician Assistant in Adrian, MI
• Providers in Adrian, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.