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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
34785 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | BLUE CROSS | 482768823003 | 01 |
WI | 31965700 | 05 |
Street Address |
430 E DIVISION ST |
City | FOND DU LAC |
State | WI |
Zip Code | 54935-4560 |
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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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 |
Find all providers in zip 54935 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346209038 | Eugenia Daniela Hord | Pain Medicine | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2006-03-21 |
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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City | FOND DU LAC |
Zip Code | 54935 |
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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.