Physician Compare National (NPI:1982607768)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1982607768
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648233866
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100625000765
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OSBORNE
	Individual professional last name
Provider First Name	SUSAN
	Individual professional first name
Provider Middle Name	PAGE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	121 PARKVIEW RD NE
	Group Practice or individual's line 1 address
City	FLOYD
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	240913809
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5407456034
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y