KATIEOSTROMMD (NPI# 1093352502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093352502 |
| Entity Type | Organization |
| Organization Name | KATIEOSTROMMD |
| Other Organization Name | KATIE OSTROM MD, LLC |
| Practice Address |
205 W Fairview Homer AK 99603 |
| Practice Telephone | 9074350555 |
| Practice Fax Number | 9074350559 |
| Mailing Telephone | 9074350555 |
| Mailing Fax Number | 9074350559 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-03-20 |
| Authorized Official Name | MISS ALBA I. DIAZ CARMONA (PRACTICE MANAGER) |
| Authorized Official Telephone | 9077444648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1702227 | 05 | |
| AK | 1007494 | 05 |
| Other Name | Type Code |
|---|---|
| Katie Ostrom MD, LLC | Doing Business As Name - Organization |
| Street Address |
205 W FAIRVIEW |
| City | HOMER |
| State | AK |
| Zip Code | 99603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| 1063741817 | Kostas Taxi Service | Private Vehicle | 235 Lee Drive, Homer, AK 99603 | 2009-12-08 |
| Find all providers in zip 99603 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922015098 | Renda K Knapp | Obstetrics & Gynecology | 4136 Bartlett Street, Homer, AK 99603-7001 | 2006-08-02 |
| 1194820605 | Kathryn H Ostrom | Obstetrics & Gynecology | 4136 Bartlett St, Homer, AK 99603-7001 | 2006-09-13 |
| 1811964281 | Jacqueline Joy Gagen | Obstetrics & Gynecology | 82 Copeland Ave, Homer, NY 13077 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659766582 | Jessica L Goldberger | Obstetrics & Gynecology | 2741 Debarr Rd Ste C-205, Anchorage, AK 99508-2961 | 2015-03-28 |
| 1760741151 | Bridget Rose Stralka | Obstetrics & Gynecology | 5595 Zeamer Ave, Anchorage, AK 99504 | 2012-05-07 |
| 1417214933 | Nicholas D Newbury | Obstetrics & Gynecology | 3268 Hospital Drive, Suite B, Juneau, AK 99801-7808 | 2012-04-20 |
| 1659647113 | John D. Erkmann Md, A Professional Corporation | Obstetrics & Gynecology | 1200 Airport Hts Dr, Suite 280, Anchorage, AK 99508-2965 | 2012-03-29 |
| 1588961114 | Cassandra Rae Cook | Obstetrics & Gynecology | Mat-su Women's Health Specialists, 2490 S. Woodworth Loop Suite 301, Palmer, AK 99645 | 2011-02-16 |
| 1760700884 | John D. Erkmann, M.d. | Obstetrics & Gynecology | 1200 Airport Heights Dr Ste 280, Anchorage, AK 99508-2971 | 2010-05-13 |
| 1568606804 | Bill Campbell Compton | Obstetrics & Gynecology | 17112 Laoana Dr, Eagle River, AK 99577-8505 | 2009-04-30 |
| 1376794156 | Jillian Marie Woodruff | Obstetrics & Gynecology | 3851 Piper St Ste U464, Anchorage, AK 99508-6905 | 2008-10-10 |
| 1184806176 | Integrated Women's Wellness & Center for Birth, LLC | Obstetrics & Gynecology | 780 S Snodgrass Drive, Palmer, AK 99645 | 2007-11-30 |
| 1588862684 | Patricia Jane Clark Capo | Obstetrics & Gynecology | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2007-07-10 |
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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.