David M Oligschlaeger DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036099152 Issued in IL

Legal business name

DAVID M OLIGSCHLAEGER DO LLC

Practice address

207 S Pine St
Suite F
Shelbyville, IL 62565-1749

Phone

(217) 774-7883

Fax

(217) 774-5935

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David M Oligschlaeger, DONPI 1851383418

Title

Owner, Doctor

Phone

(217) 774-7883

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David M Oligschlaeger, D.O.

  • Family Medicine Physician
  • Shelbyville, IL
  • NPI 1851383418
  NPD Authorized official
• Doris Ann Bowers, M.D.

  • Family Medicine Physician
  • Shelbyville, IL
  • NPI 1275525990
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1467520700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S PINE ST",
            "address_2": "SUITE F",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651749",
            "telephone_number": "217-774-7883",
            "fax_number": "217-774-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S PINE ST",
            "address_2": "SUITE F",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651749",
            "telephone_number": "217-774-7883",
            "fax_number": "217-774-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M OLIGSCHLAEGER DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "OLIGSCHLAEGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, DOCTOR",
        "authorized_official_telephone_number": "217-774-7883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036099152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099152",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Shelbyville, IL
• Providers in Shelbyville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.