Individual provider Active NPI

Charles D Osborn, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Corsicana, TX
National Provider Identifier
1891775953
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
H2957 Issued in TX
Practice address
3201 W Highway 22
Corsicana, TX 75110-2450
Phone
(903) 654-6820
Fax
(903) 654-6967
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X H2957 TX Primary

Addresses

Primary practice location

3201 W Highway 22
Corsicana, TX 75110-2450

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614

Other practice location 1

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-4524

Other identifiers 3

IdentifierTypeStateIssuer
83P807OtherTXBCBS
125190201MedicaidTX
220024289OtherTXMC RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080501000303 NM Practitioner - Pathology 1355420423 Reassigns benefits to 1 organization
I20120305000642 TX Practitioner - Pathology 1355420423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Oklahoma College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Pathology Associates 76 clinicians

Practice addresses (Care Compare)

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H2957TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Jan 17, 2026 Accepting new patients
Waco Gastroenterology Associates CurrentSince Sep 1, 2019 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Jan 11, 2020 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology Current Accepting new patients
Ameripath Lubbock 501a Corporation Past Accepting new patients
Ameripath Lubbock 501a Corporation Past Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology Past Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology Past Accepting new patients
Histopath, Inc. Past Accepting new patients

Locations

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

601 N 19th St
Corpus Christi, TX 78408
Phone (361) 881-3035

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

3201 S Loop 256
Ste 800
Palestine, TX 75801
Phone (903) 723-0330

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

364 Richland West Cir
#A
Waco, TX 76712
Phone (254) 537-0911

719 W Coke Rd
Winnsboro, TX 75494
Phone (903) 342-3961

Interoperability endpoints

  • Direct secure messaging: cosborn10144@ahs.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1891775953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W HIGHWAY 22",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102450",
            "telephone_number": "903-654-6820",
            "fax_number": "903-654-6967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Matlock Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152908",
            "country_code": "US",
            "telephone_number": "682-509-4524",
            "fax_number": "817-472-4954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "CHARLES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "H2957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83P807",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125190201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RR",
            "identifier": "220024289",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.