Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Misty A Osborne, PA

Individual provider Medical Physician Assistant · NPI 1487652715

Misty A Osborne, PA is a Physician Assistant in Toledo, Ohio. Qualified in 2000, 26 years ago. Practices with Promedica Genito-Urinary Surgeons LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
26
Licensed in
OH
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2120 W Central Ave
Toledo, OH 43606-3834
Phone: (419) 531-8558
Fax: (419) 531-8798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5001549 (OH)

Record details

NPI number1487652715
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 11, 2005
Last updated in NPPESNovember 3, 2023
Certification dateDecember 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Promedica Genito-Urinary Surgeons Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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