Stacy Clarence Osborne, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002140 Issued in OH

Practice address

5521 Montgomery Rd
Norwood, OH 45212-1848

Phone

(513) 351-6300

NPI assigned

May 27, 2005

Last updated

May 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stacy C Osborne

  • Podiatrist
  • Cincinnati, OH
  • NPI 1700109568
  NPD (past) Authorized official
• Kerry L Temar DPM

  • Podiatrist
  • Cincinnati, OH
  • NPI 1578790424
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1861495442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 MONTGOMERY RD",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452121848",
            "telephone_number": "513-351-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 MONTGOMERY RD",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452121848",
            "telephone_number": "513-351-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "STACY",
        "middle_name": "CLARENCE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0520207",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480002256",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ohio Metro Dental Services, PLLC
• Optimus LLC (Optimus Prosthetics)
• Optimus LLC (Optimus Prosthetics)
• Option Care Infusion Suites, LLC
• Orthopedic Diagnostic & Treatment Ctr Inc
• Joann Wilbers Payne, LISW
• Mary M. Phelan, OTR/L
• David Lee Potts, PHARM.D.
• Premier Estates 524, LLC
• Premier Estates 525, LLC

• Podiatrist in Norwood, OH
• Providers in Norwood, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.