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OSBORNE ORTHOPEDIC GROUP INC NPI 1013300128


NPI Information

NPI: 1013300128
Provider Name: OSBORNE ORTHOPEDIC GROUP, INC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1701 CHURCH ST STE A
NORFOLK, VA
ZIP 23504
Phone: (757) 548-7190
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OSBORNE ORTHOPEDIC GROUP, INC is a non pharmacy dispensing site in Norfolk, VA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) OSBORNE ORTHOPEDIC GROUP, INC NPI is 1013300128. The provider is registered as an organization entity type.

The provider's business location address is:

1701 CHURCH ST STE A
NORFOLK, VA
ZIP 23504-304
Phone: (757) 548-7190
Fax: (757) 548-7190

The provider's authorized official is Tommy Taylor Osborne .
The authorized official title is President/ceo and has the following contact phone number (757) 777-4110.

The enumeration date for this NPI number is 3/13/2015 and was last updated on 11/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site0213001933VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11598768103MEDICAIDVIRGINIA
2362091900OTHEROWCP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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