BENJAMIN DAVID OSTERRIEDER (NPI# 1497018345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497018345 |
| Entity Type | Individual |
| Full Name | BENJAMIN DAVID OSTERRIEDER |
| Credential | MD |
| Practice Address |
3754 Highway 90 Ste 220 Pace FL 32571-1096 |
| Mailing Address |
Po Box 2699 Attn: Shmg/hpe Pensacola FL 32513-2699 |
| Practice Telephone | 8504165050 |
| Practice Fax Number | 8504165022 |
| Mailing Telephone | 8504165050 |
| Mailing Fax Number | 8504165022 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME124744 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3754 HIGHWAY 90 STE 220 |
| City | PACE |
| State | FL |
| Zip Code | 32571-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843410 | Lisa Currier | Pediatrics | 3754 Highway 90, Pace, FL 32571-1096 | 2005-10-04 |
| 1649534710 | Pace Surgery Center | Anesthesiology | 3754 Highway 90, Suite 120, Pace, FL 32571-1096 | 2012-07-03 |
| 1710127006 | Vishal Gujral | Internal Medicine | 3754 Highway 90, Suite 200, Pace, FL 32571-1096 | 2009-02-25 |
| 1982850251 | Darlene Marie Hess | Physical Therapy Assistant | 3754 Highway 90, Suite 210, Pace, FL 32571-1096 | 2008-08-18 |
| 1528224961 | Mary Frances Randell | Occupational Therapist | 3754 Highway 90, Suite 210, Pace, FL 32571-1096 | 2008-08-05 |
| 1225226889 | Jamie Mashburn Thorn | Nurse Practitioner | 3754 Highway 90, Ste 220, Pace, FL 32571-1096 | 2007-10-09 |
| 1578662227 | Pace Surgery Center | Clinic/Center | 3754 Highway 90, Suite 120, Pace, FL 32571-1096 | 2006-09-21 |
| 1386650406 | Robert Gerald Kincaid IIi | Family Medicine | 3754 Highway 90, Suite 200, Pace, FL 32571-1096 | 2006-07-31 |
| 1174537690 | Troy Bell | Optometrist | 3754 Highway 90, Suite 390, Pace, FL 32571-1096 | 2006-07-28 |
| 1104871979 | Matthew G. Kinzelman | Family Medicine | 3754 Highway 90, 200, Pace, FL 32571-1020 | 2006-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
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| 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 |
|---|---|---|---|---|
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1851374334 | Pace Obstetrics and Gynecology | Obstetrics & Gynecology | 4628 Summerdale Dr, Pace, FL 32571-1368 | 2005-11-29 |
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|---|---|---|---|---|
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| 1790306256 | Mia Donna LLC | Obstetrics & Gynecology | 7100 W 20th Ave Ste 304, Hialeah, FL 33016-1812 | 2020-05-06 |
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| 1134740061 | Horizon Family Medical Practice LLC | Obstetrics & Gynecology | 1236 Royal Palm Beach Blvd Ste 108, Royal Palm Beach, FL 33411-1602 | 2020-05-01 |
| 1689209991 | Earl Brewster Md Pa | Obstetrics & Gynecology | 101 N 8th St Ste 1001, Lake Mary, FL 32746-3101 | 2020-03-06 |
| 1386276319 | Robert Suruncle Pllc | Obstetrics & Gynecology | 8255 N Wickham Rd Ste 102, Melbourne, FL 32940-8202 | 2020-02-07 |
| 1376182329 | Moment Health Care Inc | Obstetrics & Gynecology | 6464 N Miami Ave, Miami, FL 33150-4520 | 2019-12-21 |
| 1043858012 | Medical Vitality Clinic LLC | Obstetrics & Gynecology | 1845 Cordova Rd Ste 204, Fort Lauderdale, FL 33316-6100 | 2019-12-20 |
| 1679124986 | Brenda Sison Wilkinson | Obstetrics & Gynecology | 2050 Ackola Pt, Longwood, FL 32779-3112 | 2019-09-27 |
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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.