Active NPI
Lynn C Ostenson, M.D.
- Internal Medicine Physician
- Puyallup, WA
National Provider Identifier
1013931401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00015953
- Practice address
- 407 14TH Ave SE
Puyallup, WA 98371-0192 - Phone
- (253) 697-4000
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00015953 | WA | Primary |
Addresses
Primary practice location
407 14TH Ave SE
Puyallup, WA 98371-0192
Mailing address
407 14TH Ave SE
Puyallup, WA 98371-0192
Phone (253) 697-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1115153 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mso Washington, Inc. | Internal Medicine | Past | Accepting new patients |
| Good Samaritan Community Healthcare | Internal Medicine | Past | Accepting new patients |
| Multicare Health System | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Puyallup, WA
- NPI 1437102399
Internal Medicine
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013931401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 14TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983710192",
"telephone_number": "253-697-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 14TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983710192",
"telephone_number": "253-697-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTENSON",
"first_name": "LYNN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00015953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1115153",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.