Active NPI
Michael Bernhard Osswald, M.D.
- Hematology & Oncology Physician
- Lackland a F B, TX
National Provider Identifier
1467565911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD-054741-L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140709001641 | TX | Order and Referring Only - Hematology/Oncology | 2365667250 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-054741-L | PA | MD | Hematology & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.