Mark L Ostlund, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

29630 Issued in MN

Practice address

7901 Xerxes Ave S Ste 116
Bloomington, MN 55431-1200

Phone

(952) 888-2024

Fax

(952) 888-3985

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1396809182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 XERXES AVE S STE 116",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311200",
            "telephone_number": "952-888-2024",
            "fax_number": "952-888-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 XERXES AVE S STE 116",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311200",
            "telephone_number": "952-888-2024",
            "fax_number": "952-888-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTLUND",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "29630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936877900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siham Osman
• Suleyman Fuad Osman
• Julia Anne Osowski, OD
• Paul M. Ossmann, MD
• Nicholas Oster
• Ava Bella Ostrom
• Kellee Ott
• Kellen Douglas Otte, D.C
• Kaye Bradley Otter, D.C.
• Christa Overson, MSE, LMFT

• Internal Medicine Physician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.