Organization Active NPI

John G Oster MD PC

  • Specialist
  • Grand Junction, CO
National Provider Identifier
1467782854
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35363 Issued in CO
Legal business name
JOHN G OSTER MD PC
Practice address
2472 Patterson Rd
Suite 11
Grand Junction, CO 81505-1285
Phone
(970) 424-5555
Fax
(970) 424-5027
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Dr. John G Oster, MDNPI 1295775195
Title
Owner
Phone
(970) 424-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35363 CO Primary

Addresses

Primary practice location

2472 Patterson Rd
Suite 11
Grand Junction, CO 81505-1285

Mailing address

2472 Patterson Road
Suite 11
Grand Junction, CO 81505-1285
Phone (970) 424-5555

Other identifiers 1

IdentifierTypeStateIssuer
01353630MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100120000176 CO Part B Supplier - Clinic/Group Practice 0749322311 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

2472 Patterson Rd
Unit 11
Grand Junction, CO 81505
Phone (970) 245-5678

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1467782854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 PATTERSON ROAD",
            "address_2": "SUITE 11",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051285",
            "telephone_number": "970-424-5555",
            "fax_number": "970-424-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 PATTERSON RD",
            "address_2": "SUITE 11",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051285",
            "telephone_number": "970-424-5555",
            "fax_number": "970-424-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G OSTER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "OSTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-424-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "35363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01353630",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.