ERNEST THEODORE OSTERMANN (NPI# 1538180963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538180963 |
| Entity Type | Individual |
| Full Name | ERNEST THEODORE OSTERMANN |
| Credential | M.D. |
| Practice Address |
400 Medical Park Dr Watervliet MI 49098-9225 |
| Mailing Address |
Po Box 1108 Attn: Barb Simmons Ann Arbor MI 48106-1108 |
| Practice Telephone | 2694633111 |
| Practice Fax Number | 7346777407 |
| Mailing Telephone | 7346777400 |
| Mailing Fax Number | 7346777407 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301055625 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4863316 | 05 | |
| MI | BCBS PIN # | 3008010631 | 01 |
| Street Address |
400 MEDICAL PARK DR |
| City | WATERVLIET |
| State | MI |
| Zip Code | 49098-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643644 | Denise A Frazee | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2019-01-24 |
| 1780153403 | Lisa Sutton | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-26 |
| 1871063552 | Steven Vandenbosch | Occupational Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-26 |
| 1861961542 | Rodney Russell | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-25 |
| 1649749490 | Megan Mcquillan | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-21 |
| 1366911455 | Cynthia Marie Forrester | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-19 |
| 1518436500 | Renee Marie Hardman | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-19 |
| 1902375082 | Eric Triezenberg | Occupational Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-18 |
| 1982173217 | Michelle Bendewald | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-15 |
| 1386113744 | Karol Paul | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154586451 | Alfonso Generalao Llanto | Family Medicine | 3973 M140, Watervliet, MI 49098 | 2008-07-25 |
| 1568644052 | Lakeland Community Hospital Watervliet | Family Medicine | 400 Medical Park Drive, Watervliet, MI 49098 | 2007-11-27 |
| 1609910744 | Nilda D Orzame Md Pllc | Internal Medicine | 3881 North M-140 Hwy, Watervliet, MI 49098 | 2007-02-19 |
| 1750484556 | Alfonso G Llanto Md PC | General Practice | 3973 M 140, Watervliet, MI 49098 | 2006-09-07 |
| 1285891473 | Community Hospital | Surgery | 450 Medical Park Dr Ste 200, Watervliet, MI 49098-8531 | 2008-05-16 |
| 1962480228 | Lope Alvaran Vitangcol Jr. | Surgery | 450 Medical Park Dr, Suite 100, Watervliet, MI 49098-8531 | 2006-01-06 |
| 1265733356 | Amelia Fajardo Family Medical Clinic PC | General Practice | 450 Medical Park Dr, Suite 100, Watervliet, MI 49098-8531 | 2010-11-05 |
| 1306033329 | Community Hospital | Surgery | 450 Medical Park Dr, Suite 200, Watervliet, MI 49098-8531 | 2007-10-03 |
| 1760418198 | Abbas Syed | Surgery | 450 Medical Park Dr, Suite 200, Watervliet, MI 49098-8531 | 2006-06-25 |
| 1790733293 | Donald F. Brooks | Specialist | 450 Medical Park Dr, Suite # 400, Watervliet, MI 49098-8531 | 2006-05-05 |
| Find all providers in zip 49098 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255582250 | Diagnostic Services, LLC | Radiology | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1295204253 | Easy Imaging, LLC | Radiology | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2018-11-20 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1336626696 | Quantum Medical Radiology of California, P.C. | Radiology | 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 | 2018-07-19 |
| 1376072488 | Cambridge Institute of Minimally Invasive Therapies Pllc | Radiology | 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
| City | WATERVLIET |
| Zip Code | 49098 |
Please comment or provide details below to improve the information on ERNEST THEODORE OSTERMANN.
| 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.