MR. MATTHEW OSBORNE (NPI# 1821538653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821538653 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW OSBORNE |
| Credential | PA-C |
| Practice Address |
19531 Cochran Blvd Port Charlotte FL 33948-2081 |
| Mailing Address |
3434 Hancock Bridge Pkwy Ste 301 North Fort Myers FL 33903-7099 |
| Practice Telephone | 9417877100 |
| Practice Fax Number | 9417667999 |
| Mailing Telephone | 8778563774 |
| Mailing Fax Number | 2395992612 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2018-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA110201 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9110201 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104082254 | Matthew Russell Osborne | Psychologist | 6 Marshall Ct, Ann Arbor, MI 48104-2926 | 2008-07-29 |
| 1225072333 | Matthew B. Osborne | Chiropractor | 258 Southtown Circle, Rolesville, NC 27571-9593 | 2006-06-16 |
| 1164084760 | Matthew James Osborne | Physical Therapist | 100 County Road B, Shawano, WI 54166-7072 | 2019-07-03 |
| 1891940771 | Matthew Osborne | Pharmacy Technician | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2008-11-19 |
| 1962510065 | Matthew Osborne | Emergency Medicine | 1555 Long Pond Rd, Emergency Department, Rochester, NY 14626-4122 | 2006-08-28 |
| Street Address |
19531 COCHRAN BLVD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854789 | Steven L Karo | Physician Assistant | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2005-07-12 |
| 1487289997 | Marim A Williams | Nurse Practitioner | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2020-03-04 |
| 1609424654 | Brieanna M Blumenstein | Nurse Practitioner | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2019-09-03 |
| 1841760832 | Michele Lucille Coward | Nurse Practitioner | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2018-12-03 |
| 1326587908 | Fabiola Anglade-pascal | Nurse Practitioner | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2017-02-16 |
| 1003351966 | Dna Comprehensive Therapy Services, LLC | Psychologist | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2017-01-03 |
| 1154786267 | Jerilyn Anne Summers | Nurse Practitioner | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2015-12-17 |
| 1588041495 | Wendy Straitwell | Nurse Practitioner | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2015-04-29 |
| 1619374451 | Stacey Lagasse | Nurse Practitioner | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2014-11-21 |
| 1194132068 | Krista Gail Russell | Nurse Practitioner | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2014-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891267779 | Jenna Mut | Physician Assistant | 20416 Copeland Ave, Port Charlotte, FL 33952-1304 | 2018-12-17 |
| 1962752279 | Ashley Nichole Reid | Physician Assistant | 2040 Tamiami Trl, Suite C, Port Charlotte, FL 33948-2178 | 2012-09-13 |
| 1164580536 | Brian R Webster | Physician Assistant | 530 Tamiami Trail, Port Charlotte, FL 33953 | 2006-12-05 |
| 1457390270 | Mark Browning | Physician Assistant | 4161 Tamiami Trl Ste 201, Port Charlotte, FL 33952-9204 | 2006-06-06 |
| 1902859739 | Timothy Francis | Physician Assistant | 2335 Aaron St, Port Charlotte, FL 33952-5305 | 2006-05-19 |
| 1861031338 | Anisleisys Vazquez | Physician Assistant | 2852 Tamiami Trl Ste 4, Port Charlotte, FL 33952-5100 | 2020-01-02 |
| 1326500174 | Emily Jane Brown | Physician Assistant | 17928 Toledo Blade Blvd, Port Charlotte, FL 33948-1021 | 2019-04-02 |
| 1982115069 | Norah Lynn Mccrossin | Physician Assistant | 2380 Harbor Blvd, Port Charlotte, FL 33952-5024 | 2017-10-17 |
| 1467962365 | Samantha L. Jusino | Physician Assistant | 4235 Kings Highway, Suite 103, Port Charlotte, FL 33980-8421 | 2017-10-05 |
| 1447623228 | Winding Road Emergency Physicians, LLC | Physician Assistant | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 2015-11-03 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
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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.