Individual provider Active NPI

Jeffry Ostrander, MD

  • Anesthesiology Physician
  • Fort Smith, AR
National Provider Identifier
1144457615
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27264 Issued in OK
Practice address
1115 S Waldron Rd
Suite 107
Fort Smith, AR 72903-2551
Phone
(479) 452-2158
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 27264 OK Primary

Addresses

Primary practice location

1115 S Waldron Rd
Suite 107
Fort Smith, AR 72903-2551

Mailing address

PO Box 11880
Fort Smith, AR 72917-1880
Phone (479) 452-1581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000076 AR Practitioner - Anesthesiology 0446490338 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Oklahoma College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Anesthesia PAGroup PAC ID 6901965276, 9 clinicians
Renew Medical Group of Arkansas LTDGroup PAC ID 3173056298, 129 clinicians

Practice addresses (Care Compare)

3601 S 79TH St
Fort Smith, AR 72903-6255
Phone (479) 785-2555

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27264OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Obstetric Anesthesia LLC Anesthesiology CurrentSince Jul 1, 2013 Accepting new patients
Renew Medical Group of Arkansas LTD Anesthesiology CurrentSince Nov 16, 2024 Accepting new patients
Phoenix Anesthesia PA Anesthesiology CurrentSince Oct 1, 2014 Accepting new patients
Arkansas Health Group CurrentSince Feb 4, 2022 Accepting new patients
Arkansas Health Group Anesthesiology CurrentSince Feb 4, 2022 Accepting new patients
Western Arkansas Anesthesiology Associates P.a. Anesthesiology CurrentSince Jul 1, 2013 Accepting new patients

Locations

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

3601 S 79th St
Fort Smith, AR 72903
Phone (479) 314-4723

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1144457615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11880",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171880",
            "telephone_number": "479-452-1581",
            "fax_number": "479-452-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S WALDRON RD",
            "address_2": "SUITE 107",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032551",
            "telephone_number": "479-452-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTRANDER",
        "first_name": "JEFFRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "27264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.