Individual provider Active NPI

Michael Bernhard Osswald, M.D.

  • Hematology & Oncology Physician
  • Lackland a F B, TX
National Provider Identifier
1467565911
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD-054741-L Issued in PA
Practice address
2200 Bergquist Dr
759 Mdos/Mmih Ste 1
Lackland a F B, TX 78236-9907
Phone
(210) 292-5688
Fax
(210) 292-7317
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD-054741-L PA Primary

Addresses

Primary practice location

2200 Bergquist Dr
759 Mdos/Mmih Ste 1
Lackland a F B, TX 78236-9907

Mailing address

8814 Shady Vly
San Antonio, TX 78254-5558
Phone (210) 520-9729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140709001641 TX Order and Referring Only - Hematology/OncologyPractitioner - Hematology/Oncology 2365667250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-054741-LPAMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467565911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 SHADY VLY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545558",
            "telephone_number": "210-520-9729",
            "fax_number": "210-292-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "address_2": "759 MDOS/MMIH STE 1",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369907",
            "telephone_number": "210-292-5688",
            "fax_number": "210-292-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSWALD",
        "first_name": "MICHAEL",
        "middle_name": "BERNHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD-054741-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackland a F B, TX

Sources for this page

Verify at the official NPI Registry.