Osteopathic Care, Inc

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

1190 Issued in NV

Legal business name

OSTEOPATHIC CARE, INC

Practice address

893 Adams Blvd
Boulder City, NV 89005-2235

Phone

(702) 249-9351

Fax

(702) 293-0845

NPI assigned

Aug 6, 2007

Last updated

Aug 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sharon M. Gustowski, D.O.

Title

President

Phone

(702) 249-9351

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1184815052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60553",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890060553",
            "telephone_number": "702-249-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052235",
            "telephone_number": "702-249-9351",
            "fax_number": "702-293-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "GUSTOWSKI",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-249-9351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NV",
            "license": "1190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey M Nissen
• Amy Nyberg
• Ivan Obedoza
• Jennifer Olsen
• Devyn Kaye Orgill, DPT
• Angela Kwibin Pae, BC-HIS
• Allison Palmer, CNP
• Fatima Parker
• Tytaliayah Parker
• David Parton

• Neuromusculoskeletal Medicine & OMM Physician in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.