LARS G OSTMAN


Address: 430 E Division St, Fond Du Lac, WI 54935-4560
Phone: 9209262300

LARS G OSTMAN (NPI# 1366401093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366401093
Entity Type Individual
Full Name LARS G OSTMAN
Credential MD
Practice Address 430 E Division St
Fond Du Lac
WI 54935-4560
Practice Telephone 9209262300
Mailing Telephone 9209268340
Enumeration Date 2006-03-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
34785 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI BLUE CROSS 482768823003 01
WI 31965700 05

Office Location

Street Address 430 E DIVISION ST
City FOND DU LAC
State WI
Zip Code 54935-4560

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437157831 Gilberto Cantu Nurse Anesthetist, Certified Registered 430 E Division St, Fond Du Lac, WI 54935-4560 2005-07-09
1992306310 Leah Timm Nurse Practitioner 430 E Division St, Fond Du Lac, WI 54935-4560 2020-11-03
1982212312 Tiffany M Parker Counselor 430 E Division St, Fond Du Lac, WI 54935-4560 2020-07-22
1619594355 Brynn Sytsma Student in an Organized Health Care Education/Training Program 430 E Division St, Fond Du Lac, WI 54935-4560 2020-06-29
1891312633 Joshua Mckinney Counselor 430 E Division St, Fond Du Lac, WI 54935-4560 2020-06-27
1275153264 Jacalyn Lucille Wendt Coleman Dietitian, Registered 430 E Division St, Fond Du Lac, WI 54935-4560 2020-04-20
1568090884 Jaclyn R Monteverde Physician Assistant 430 E Division St, Fond Du Lac, WI 54935-4560 2020-03-31
1235766718 Emily Jean Thiel Dietitian, Registered 430 E Division St, Fond Du Lac, WI 54935-4560 2020-03-25
1326674136 Alexandria Lynn Hefter Nurse Practitioner 430 E Division St, Fond Du Lac, WI 54935-4560 2020-03-13
1952933046 Gina Paveglio Registered Nurse 430 E Division St, Surgery Dept, Fond Du Lac, WI 54935 2020-02-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609482249 Keziah Sherri Love Counselor W390 Wi-23, Fond Du Lac, WI 54935 2020-09-18
1891341988 Cynthia Louise Singleton Nurse Practitioner 16 E 13th St., Fond Du Lac, WI 54935 2019-08-14
1083183297 Elena Alexandra Giese Nurse Practitioner 430 E. Division St, Fond Du Lac, WI 54935 2018-11-16
1669963740 Elizabeth Anne Machi Student in an Organized Health Care Education/Training Program 885 Western Ave Ste 300, Fond Du Lac, WI 54935 2018-05-23
1184150021 Jordan Moehn Specialist/Technologist 633 Prairie Pkwy, Fond Du Lac, WI 54935 2017-05-11
1467856336 Chuentao Ho Specialist/Technologist 45 South National Ave., Fond Du Lac, WI 54935 2014-10-21
1437587961 Paula Seeley Nurse Practitioner 63 West Pioneer Rd, Fond Du Lac, WI 54935 2013-10-18
1144516030 Bonnie Kay Mallon Registered Nurse 118 E 9th St, Fond Du Lac, WI 54935 2011-06-20
1770885600 Holly Shepard Counselor 23 W Scott St., Fond Du Lac, WI 54935 2010-11-29
1437479110 Ruth Marie Bohn Occupational Therapy Assistant 244 North Macy Street, Fond Du Lac, WI 54935 2010-06-04
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346209038 Eugenia Daniela Hord Pain Medicine 421 Camelot Dr, Fond Du Lac, WI 54935-8335 2006-03-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790309276 Wisconsin Spine and Pain Sc Pain Medicine 1604 Cedar Bnd, Hartland, WI 53029-8663 2020-06-01
1679119689 Pain Physicians of Wisconsin, Sc Pain Medicine 5007 S Howell Ave Ste 115, Milwaukee, WI 53207-6158 2019-11-25
1619359122 Pain Relief, Inc. Pain Medicine 7520 Us Highway 51, Nwbj, Minocqua, WI 54548-8943 2015-06-19
1093001851 Brian Curtin Pain Medicine 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 2011-06-21
1285924969 Thomas J. Guhl, M.d., S.c. Pain Medicine 3305 S 20th St Ste 150, Milwaukee, WI 53215-4941 2011-04-14
1457459869 Nichole Virgo Pain Medicine 8901 N 76th St Fl 3, Milwaukee, WI 53223-1901 2006-09-20
1740889021 Midwest Interventional Pain and Diagnostics Pain Medicine 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 2020-10-19
1720499759 Ryan William Clark Pain Medicine 12203 Corporate Pkwy, Mequon, WI 53092 2014-05-13
1750791901 David L. Scherwinski, M.d., S.c. Pain Medicine 140 24th St S, Wisconsin Rapids, WI 54494-1906 2014-04-28
1275799264 Alberto C Clar Md Sc Pain Medicine 8901 N 76th St, Milwaukee, WI 53223-1901 2008-07-30
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Competitor

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City FOND DU LAC
Zip Code 54935

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Dataset Information

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.

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