L John Osborn (NPI# 1164487740, PAC ID# 1153486592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164487740 |
| PAC ID by PECOS | 1153486592 |
| Professional Enrollment ID | I20090218000236 |
| Full Name | L John Osborn |
| Organization Legal Name | SPARROW CARSON HOSPITAL |
| Address |
11017 W 3rd St Sparrow Medical Group Fowler Fowler MI 48835-9161 |
| Phone Number | 9895932525 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7113836701 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230208 | SPARROW CARSON HOSPITAL |
| 231331 | SPARROW IONIA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11017 W 3rd St, Sparrow Medical Group Fowler, Fowler, MI 48835-9161 | 9895932525 | SPARROW CARSON HOSPITAL |
| 505 E Bridge St, Sparrow Medical Group Lyons, Lyons, MI 48851-9685 | 9898553345 | SPARROW CARSON HOSPITAL |
| Organization Legal Name | SPARROW CARSON HOSPITAL |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carli Donnelly | Internal Medicine | Sparrow Carson Hospital | 1014 E Washington St, Greenville, MI 48838-2463 |
| Susan M Ott | Orthopedic Surgery | Sparrow Carson Hospital | 423 E Main St A, Carson City, MI 48811-9741 |
| Aimee L Johnson | Nurse Practitioner | Sparrow Carson Hospital | 545 N State St, Stanton Family Care Center, Stanton, MI 48888-9331 |
| Michelle L Becher | Obstetrics/gynecology | Sparrow Carson Hospital | 639 E Main St, Sparrow Medical Group Obgyn Carson, Carson City, MI 48811-9795 |
| Catherine T Puetz | Emergency Medicine | Sparrow Carson Hospital | 406 E Elm St, Carson City, MI 48811-9693 |
| Roger D Morris | Family Medicine | Sparrow Carson Hospital | 320 S Sterling St, Ashley, MI 48806-5110 |
| Maciej Solarewicz | Internal Medicine | Sparrow Carson Hospital | 245 S 2nd St, Carson City, MI 48811-9650 |
| John M Wegner | Physician Assistant | Sparrow Carson Hospital | 102 S 3rd St, Carson City, MI 48811-5115 |
| Douglas W Poff | General Practice | Sparrow Carson Hospital | 102 S 3rd St, Suite 100, Carson City, MI 48811-5115 |
| Andrew J Stasevich | Family Medicine | Sparrow Carson Hospital | 102 S 3rd St, Suite 100, Carson City, MI 48811-5115 |
| Street Address |
11017 W 3RD ST SPARROW MEDICAL GROUP FOWLER |
| City | FOWLER |
| State | MI |
| Zip | 48835-9161 |
| City | FOWLER |
| Zip Code | 48835 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FOWLER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on L John Osborn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.