MR. KENNETH M OSBORN (NPI# 1417939943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417939943 |
| Entity Type | Individual |
| Full Name | MR. KENNETH M OSBORN |
| Credential | RPAC |
| Practice Address |
210 E Main St Springville NY 14141-1442 |
| Practice Telephone | 7165923614 |
| Practice Fax Number | 7165922929 |
| Mailing Telephone | 7165923614 |
| Mailing Fax Number | 7165922929 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003354 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01274304 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841351483 | Kenneth Wayne Osborn | Chiropractor | 18441 N.w 2nd Ave., #220, Miami, FL 33169-4537 | 2006-12-13 |
| 1811071327 | Kenneth Jeffery Osborn | Chiropractor | 3663 Snouffer Rd, Columbus, OH 43235-2780 | 2006-10-24 |
| Street Address |
210 E MAIN ST |
| City | SPRINGVILLE |
| State | NY |
| Zip Code | 14141-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003003377 | Kathleen Prendergast | Massage Therapist | 210 E Main St, Springville, NY 14141-1442 | 2007-10-01 |
| 1902998974 | Melissa Fanton | Physician Assistant | 210 E Main St, Springville, NY 14141-1442 | 2006-09-28 |
| 1871510636 | Concord Medical Group PC | Specialist | 210 E Main St, Springville, NY 14141-1442 | 2006-07-17 |
| 1386688307 | Douglas Evan Tanner | Physician Assistant | 210 E Main St, Springville, NY 14141-1442 | 2006-06-16 |
| 1841273166 | Lori D Hudzinski | Family Medicine | 210 E Main St, Springville, NY 14141-1442 | 2005-11-21 |
| 1255313755 | Andrew J Berger | General Practice | 210 E Main St, Springville, NY 14141-1442 | 2005-11-18 |
| 1821070970 | Edwin Heidelberger | Internal Medicine | 210 E Main St, Springville, NY 14141-1442 | 2005-11-15 |
| 1528069085 | William Joseph Wnuk | Internal Medicine | 210 E Main St, Springville, NY 14141-1442 | 2005-08-09 |
| 1194725275 | Priscilla K Dale | Internal Medicine | 210 E Main St, Springville, NY 14141-1442 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831666114 | Lauren Victoria Manchester | Student in an Organized Health Care Education/Training Program | 290 Vaughn Street, Springville, NY 14141 | 2018-10-25 |
| 1366950479 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 224 East Main St., Buffalo Orthopaedic Group, LLP, Springville, NY 14141 | 2018-01-11 |
| 1104195130 | Mary Ann Garlock | Speech-Language Pathologist | 290 North Buffalo St, Springville, NY 14141 | 2011-12-20 |
| 1124341128 | Susan K Bancroft | Pharmacist | 316 S.cascade Dr., Springville, NY 14141 | 2010-03-04 |
| 1710132204 | Rhonda C. Cecala | Licensed Practical Nurse | 337 North Buffalo Street, Springville, NY 14141 | 2008-11-25 |
| 1538340278 | Darren W Love | Pharmacist | 184 So Cascade Dr, Springville, NY 14141 | 2007-11-23 |
| 1891882320 | Theodore M Steinwachs | Physician Assistant | 24 Franklin Street, Springville, NY 14141 | 2006-10-06 |
| 1659489201 | Amy Elizabeth Schmitt-kingston | Dentist | 13832 White St, Springville, NY 14141 | 2006-08-25 |
| 1548274459 | Chiropractic Care Pllc | Chiropractor | 85 Franklin St, Springville, NY 14141 | 2006-07-28 |
| 1619922770 | Lori Ann Baker | Nurse Anesthetist, Certified Registered | Bertrand Chaffee Hospital, 224 East Main Street, Springville, NY 14141 | 2006-05-24 |
| Find all providers in zip 14141 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114412905 | Daniel Harold Karstedt | Physician Assistant | 224 E Main St, Springville, NY 14141-1443 | 2018-06-25 |
| 1063843183 | Marie Pittman | Physician Assistant | 763 N 1650 W, Springville, UT 84663-5066 | 2013-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 14141 |
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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.