Active NPI
Paul D. Oltman, M.D., S.C.
- Family Medicine Physician
- Effingham, IL
National Provider Identifier
1083922090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036068792
- Legal business name
- PAUL D. OLTMAN, M.D., S.C.
- Practice address
- 900 W Temple Ave
Suite 204
Effingham, IL 62401-2121 - Phone
- (217) 347-7776
- Fax
- (217) 347-7526
- NPI assigned
- Sep 24, 2010
- Last updated
- Sep 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul D. Oltman, M.D.
- Title
- Owner
- Phone
- (217) 347-7776
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036068792 | IL | Primary |
Addresses
Primary practice location
900 W Temple Ave
Suite 204
Effingham, IL 62401-2121
Mailing address
900 W Temple Ave
Suite 204
Effingham, IL 62401-2121
Phone (217) 347-7776
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Effingham, IL
- NPI 1942208087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285286400000",
"number": "1083922090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W TEMPLE AVE",
"address_2": "SUITE 204",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012121",
"telephone_number": "217-347-7776",
"fax_number": "217-347-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W TEMPLE AVE",
"address_2": "SUITE 204",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012121",
"telephone_number": "217-347-7776",
"fax_number": "217-347-7526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL D. OLTMAN, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A",
"authorized_official_last_name": "OLTMAN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-347-7776",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036068792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.