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JEFFREY R OSWORTH PA
NPI 1861490831
Physician Assistant - Medical in Adrian, MI

Active since July 13, 2005PECOS Enrolled
770 RIVERSIDE AVE, SUITE 207, ADRIAN, MI 49221(517) 264-1922(517) 263-6456 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey R Osworth Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY R OSWORTH PA (NPI 1861490831) is an individual medical provider in Adrian, Michigan, licensed in Michigan (5601002855) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861490831
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJEFFREY R OSWORTHCredential: PA
Location Address770 RIVERSIDE AVE, SUITE 207Adrian, MI 49221-1476
Mailing Address1500 Gady RdAdrian, MI 49221-9807 · (517) 264-1922 · Fax (517) 263-6456
Phone(517) 264-1922
Fax(517) 263-6456
Sole ProprietorNo
Enumeration DateJuly 13, 2005
Last NPPES UpdateApril 29, 2008
✔ NPI 1861490831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in MI · 5601002855✔ Licensed in OH · 50001098
770 RIVERSIDE AVE, Adrian, MI 49221
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Other Identifiers 5

Medicare PIN970010477OH
Medicare PIN74671PR
Medicare PINOH16040021MI
Medicare UPINI32772MI
Medicare UPIN51110OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey R Osworth Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCCULLOUGH, VARGAS, & ASSOCIATES, INC.
Counselor (Addiction (Substance Use Disorder))
770 RIVERSIDE AVE, STE 11
ADRIAN, MI 49221
Lenawee County (517) 264-2244
DR. SCOTT RAYMOND SMITH D.D.S.
Dentist (General Practice)
770 RIVERSIDE AVE, STE 201
ADRIAN, MI 49221
Lenawee County (517) 265-5577
GERALD NELSON MCCULLOUGH AMA, CAADC
Counselor (Addiction (Substance Use Disorder))
770 RIVERSIDE AVE, STE 11
ADRIAN, MI 49221
Lenawee County (517) 264-2244
HELEN JAKSTAS RN,MHP,MS
Nurse Practitioner (Family)
770 RIVERSIDE AVE, SUITE 17
ADRIAN, MI 49221
Lenawee County (517) 265-8134
MR. GRADY ELAM LMSW
Social Worker (Clinical)
770 RIVERSIDE AVE, SUITE 11
ADRIAN, MI 49221
Lenawee County (517) 264-2244
SOUTHEASTERN ORTHOPEDICS PC
Orthopaedic Surgery
770 RIVERSIDE AVE, STE 105
ADRIAN, MI 49221
Lenawee County (517) 265-5230
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
Internal Medicine (Cardiovascular Disease)
770 RIVERSIDE AVE, SUITE 106
ADRIAN, MI 49221
Lenawee County (517) 266-0525
ALLISON EVA FULGENTI
Social Worker
770 RIVERSIDE AVE
ADRIAN, MI 49221
Lenawee County (517) 264-2244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Osworth's NPI number?

The NPI number for Jeffrey Osworth is 1861490831. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Jeffrey Osworth located?

Jeffrey Osworth practices at 770 Riverside Ave Suite 207, Adrian, MI 49221. The listed phone number is (517) 264-1922.

What is Jeffrey Osworth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jeffrey Osworth enrolled in Medicare?

Yes. Jeffrey Osworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Osworth was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.