Jay R. Osborne, MD, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAY R. OSBORNE, MD, INC.

Practice address

10850 Mahoning Ave.
North Jackson, OH 44451

Phone

(330) 538-2490

Fax

(330) 538-2575

NPI assigned

Jul 19, 2007

Last updated

Jul 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Osborne

Title

Manager

Phone

(330) 538-2490

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1902006844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 MAHONING AVE.",
            "address_2": "P.O. BOX 487",
            "city": "NORTH JACKSON",
            "state": "OH",
            "postal_code": "44451",
            "telephone_number": "330-538-2490",
            "fax_number": "330-538-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 MAHONING AVE.",
            "city": "NORTH JACKSON",
            "state": "OH",
            "postal_code": "44451",
            "telephone_number": "330-538-2490",
            "fax_number": "330-538-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY R. OSBORNE, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-538-2490"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0820491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine T Barto
• Michael H Binder, RN
• Kawsar Choufani, DPT
• Jackson Township Tustees (Jackson Township)
• Jackson-Milton Local School District
• Shallon Tennille Johnson, FNP-C
• Stephanie Kardos
• Lucinda Lois Kutsko
• Ann Maynard
• Judy McCorkle, COTA/L

• Family Medicine Physician in North Jackson, OH
• Providers in North Jackson, 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 Jul 19, 2007; 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.