Individual provider Active NPI

Arthur Connely Ostheimer, M.D.

  • General Practice Physician
  • Houma, LA
National Provider Identifier
1104261395
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18662 Issued in LA
Practice address
3719 Bayou Black Dr
Houma, LA 70360-2509
Phone
(985) 804-4775
NPI assigned
May 2, 2013
Last updated
May 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18662 LA Primary

Addresses

Primary practice location

3719 Bayou Black Dr
Houma, LA 70360-2509

Mailing address

3719 Bayou Black Dr
Houma, LA 70360-2509
Phone (985) 804-4775

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18662LAMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1104261395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 BAYOU BLACK DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602509",
            "telephone_number": "985-804-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 BAYOU BLACK DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602509",
            "telephone_number": "985-804-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTHEIMER",
        "first_name": "ARTHUR",
        "middle_name": "CONNELY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "18662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.