MR. DUSTAN C OSBORN (NPI# 1528061132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528061132 |
Entity Type | Individual |
Full Name | MR. DUSTAN C OSBORN |
Credential | MD, PHD |
Practice Address |
1201 Bishop Rd Chehalis WA 98532-8711 |
Practice Telephone | 3603451381 |
Practice Fax Number | 3603451382 |
Mailing Telephone | 3603451381 |
Mailing Fax Number | 3603451382 |
Enumeration Date | 2005-05-27 |
Last Update Date | 2014-05-12 |
NPI Deactivation Date | 03/17/2006 |
NPI Reactivation Date | 2006-03-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | MD00021486 | WA | Other Service Providers |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD00021486 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1011980 | 05 |
Street Address |
1201 BISHOP RD |
City | CHEHALIS |
State | WA |
Zip Code | 98532-8711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366093684 | American Oncology Partners, P.a. | Internal Medicine | 1201 Bishop Rd, Chehalis, WA 98532-8711 | 2019-09-27 |
1932447638 | Osborn Cancer Care Pllc | Internal Medicine | 1201 Bishop Rd, Chehalis, WA 98532-8711 | 2013-01-30 |
1346516473 | Laboratory Corporation of America | Clinical Medical Laboratory | 1201 Bishop Rd, Chehalis, WA 98532-8711 | 2012-03-22 |
1073759486 | Marles Jean Geist | Nurse Practitioner | 1201 Bishop Rd, Chehalis, WA 98532-8711 | 2009-01-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
Find all providers in zip 98532 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932447638 | Osborn Cancer Care Pllc | Internal Medicine | 1201 Bishop Rd, Chehalis, WA 98532-8711 | 2013-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477150969 | John Michael Pesando | Internal Medicine | 1066 East Blaine Street, Seattle, WA 98102-4260 | 2020-10-07 |
1265944003 | Langdon Leforrest Miller | Internal Medicine | 3057 Perkins Ln W, Seattle, WA 98199-2418 | 2017-11-02 |
1306214168 | Alvaro Perona Blazquez | Internal Medicine | 5049 38th Ave Ne, Seattle, WA 98105-3022 | 2015-09-10 |
1013318245 | Vivien R V B Santos | Internal Medicine | 5049 38th Avenue Ne, Seattle, WA 98105 | 2014-09-08 |
1154663581 | Victor Alexander Chow | Internal Medicine | 1100 Fairview Ave N # D5-390, Seattle, WA 98109-4433 | 2013-03-24 |
1508150111 | Robert Eugene Burdick | Internal Medicine | 2201 39th Ave E, Seattle, WA 98112-2401 | 2011-06-01 |
1962701110 | Toni Kay Roberts | Internal Medicine | 2720 Clare Ave Ste A, Bremerton, WA 98310-3374 | 2011-03-26 |
1124334792 | Wayne Russell Godfrey | Internal Medicine | 410 W Harrison St, Suite 100, Seattle, WA 98119-4033 | 2010-08-20 |
1407173826 | Joshua Robert Veatch | Internal Medicine | 1100 Fairview Ave N # D5-100, Seattle, WA 98109-4433 | 2010-04-24 |
1346562816 | Song Zhao | Internal Medicine | 515 Minor Ave Fl 1, Seattle, WA 98104-2120 | 2010-02-24 |
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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.