Active NPI
Richard Keith Oehlschlager, M.D.
- Pulmonary Disease Physician
- Boise, ID
National Provider Identifier
1659407716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- M-7096
- Practice address
- 3036 Lakewood Way
Boise, ID 83706-5240 - Phone
- (208) 363-0108
- Fax
- (208) 388-4517
- NPI assigned
- Feb 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | M-7096 | ID | Primary |
| Pulmonary Disease Physician | 207RP1001X | C-31622 | CA | |
| Pulmonary Disease Physician | 207RP1001X | D-1757 | TX |
Addresses
Primary practice location
3036 Lakewood Way
Boise, ID 83706-5240
Mailing address
3036 Lakewood Way
Boise, ID 83706-5240
Phone (208) 363-0108
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-31622 | CA | MD | Pulmonary Disease Physician |
| M-7096 | ID | MD | Pulmonary Disease Physician |
| D-1757 | TX | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659407716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3036 LAKEWOOD WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837065240",
"telephone_number": "208-363-0108",
"fax_number": "208-388-4517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3036 LAKEWOOD WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837065240",
"telephone_number": "208-363-0108",
"fax_number": "208-388-4517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OEHLSCHLAGER",
"first_name": "RICHARD",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ID",
"license": "M-7096",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "C-31622",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "D-1757",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.