DR. CARL E OSBORN (NPI# 1255431151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255431151 |
| Entity Type | Individual |
| Full Name | DR. CARL E OSBORN |
| Credential | D.O. |
| Practice Address |
3156 State St Medford OR 97504-8450 |
| Practice Telephone | 5417739772 |
| Practice Fax Number | 5417731113 |
| Mailing Telephone | 5417739772 |
| Mailing Fax Number | 5417731113 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | DO22851 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LICENSE | DO22851 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396890950 | Carl Quinn Osborn | Orthopaedic Surgery | 719 Cook Dr, Suite 104, Athens, TN 37303-3495 | 2007-01-24 |
| Street Address |
3156 STATE ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023070034 | John H Rennick | Psychiatry & Neurology | 3156 State St, Medford, OR 97504 | 2006-04-05 |
| 1053957225 | River Rock Family Practice PC | Nurse Practitioner | 3156 State St, Medford, OR 97504-8450 | 2019-11-22 |
| 1851945992 | Oceana Buckingham | Peer Specialist | 3156 State St, Medford, OR 97504-8450 | 2019-07-26 |
| 1235796699 | Macie Slizoski | Counselor | 3156 State St, Medford, OR 97504 | 2019-05-21 |
| 1245798644 | Deb Weisman | Counselor | 3156 State St, Medford, OR 97504-8450 | 2019-03-05 |
| 1952867129 | Brittney Leticia Villa | Counselor | 3156 State St, Medford, OR 97504-8450 | 2019-02-13 |
| 1063986198 | Gloria Westfall | Counselor | 3156 State St, Medford, OR 97504-8450 | 2019-01-11 |
| 1447721386 | Janeice K Bouchard | Counselor | 3156 State St, Medford, OR 97504-8450 | 2018-12-17 |
| 1851878813 | Tiffany Alexander | Counselor | 3156 State St, Medford, OR 97504-8450 | 2018-07-23 |
| 1548747504 | Misty Bishop | Counselor | 3156 State St, Medford, OR 97504-8450 | 2018-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134503865 | Abdulaziz Saleh Alfadhel | General Practice | 55 Station Lndg, Apt 507, Medford, MA 02155-5007 | 2015-07-13 |
| 1770825150 | Gordon Lockhart | General Practice | 1 Haynes Creek Ln, Medford, NJ 08055-9540 | 2013-03-23 |
| 1023375367 | University Professional Services | General Practice | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2012-04-11 |
| 1427315761 | University Professional Services | General Practice | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2012-04-11 |
| 1124311915 | Prince Medicine PC | General Practice | 12 Platinum Ct, Medford, NY 11763-2251 | 2011-05-26 |
| 1245532589 | Balancedocs Inc | General Practice | 3156 State St, Medford, OR 97504-8450 | 2010-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234674 | Sme Hawaii PC Inc | General Practice | 6021 Se Heike St, Hillsboro, OR 97123-8296 | 2020-10-27 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1346751443 | Providence Health & Services Oregon | General Practice | 4400 Ne Halsey St, Pop 2, 3rd Floor, Portland, OR 97213-1545 | 2017-10-16 |
| 1801333901 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 | 2017-01-26 |
| 1336697143 | Rita Lawler | General Practice | 8353 Se Clatsop Ct, Portland, OR 97266-6159 | 2016-09-21 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1659730760 | Propel Network, LLC | General Practice | 14525 Sw Millikan Way, Beaverton, OR 97005-2343 | 2016-02-17 |
| 1235526849 | Hollis Lule Augee | General Practice | 5151 S.w. 88th Ave., Portland, OR 97225-1717 | 2015-04-21 |
| 1023428034 | Victoria L. Larson | General Practice | 10,000 Se 222nd Ave., Damascus, OR 97089-6517 | 2014-04-29 |
| 1093134496 | Red Leaf Natural Health Clinic | General Practice | 833 Sw 11th Ave Ste 1018, Portland, OR 97205-2124 | 2014-04-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CARL E OSBORN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.