Active NPI
Angela Mary Oest, PA-C
- Medical Physician Assistant
- Buffalo Grove, IL
National Provider Identifier
1609164672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085-004053
- Practice address
- 355 W Dundee Rd
Ste #110
Buffalo Grove, IL 60089-3500 - Phone
- (847) 541-4878
- Fax
- (847) 520-0500
- NPI assigned
- Jul 12, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085-004053 | IL | Primary |
Addresses
Primary practice location
355 W Dundee Rd
Ste #110
Buffalo Grove, IL 60089-3500
Mailing address
355 W Dundee Rd
#110
Buffalo Grove, IL 60089-3500
Phone (847) 541-4878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-004053 | IL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1609164672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 W DUNDEE RD",
"address_2": "#110",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600893500",
"telephone_number": "847-541-4878",
"fax_number": "847-520-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W DUNDEE RD",
"address_2": "STE #110",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600893500",
"telephone_number": "847-541-4878",
"fax_number": "847-520-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OEST",
"first_name": "ANGELA",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085-004053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.