Active NPI
Samuel Grant Osborne, AU.D.
- Audiologist
- Burien, WA
National Provider Identifier
1992298814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD60871775
- Practice address
- 16259 Sylvester Rd SW Ste 505
Burien, WA 98166 - Phone
- (206) 242-3696
- NPI assigned
- Jun 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD60871775 | WA | Primary |
Addresses
Primary practice location
16259 Sylvester Rd SW Ste 505
Burien, WA 98166
Mailing address
16259 Sylvester Rd SW Ste 505
Burien, WA 98166-3059
Phone (206) 242-3696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD60871775 | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients |
Locations
16259 Sylvester Rd SW
Ste 505
Burien, WA 98166
Phone (206) 242-3696
16122 8th Ave SW
Ste D1
Burien, WA 98166
Phone (206) 241-7146
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- samuel.osborne.p47@direct.proliance.nextgenshare.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Orthopaedic Surgery Physician
- Federal Way, WA
- NPI 1700022662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1992298814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16259 SYLVESTER RD SW STE 505",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663059",
"telephone_number": "206-242-3696",
"fax_number": "206-246-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16259 SYLVESTER RD SW STE 505",
"city": "BURIEN",
"state": "WA",
"postal_code": "98166",
"telephone_number": "206-242-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "SAMUEL",
"middle_name": "GRANT",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-14",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60871775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.