Individual provider Active NPI

Michael L Oglesbay, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Hayden, ID
National Provider Identifier
1659476844
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
O-0631 Issued in ID
Practice address
8382 N Wayne Dr Ste 205
Hayden, ID 83835-6028
Phone
(208) 665-8111
NPI assigned
Sep 13, 2006
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-0631 ID
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X O-0631 ID Primary

Addresses

Primary practice location

8382 N Wayne Dr Ste 205
Hayden, ID 83835-6028

Mailing address

6848 N Government Way Ste 114
PMB 105
Dalton Gardens, ID 83815-7799
Phone (208) 773-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20180629000504 ID Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5597651844 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-0631IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care of Post Falls, PLLC Family Medicine CurrentSince May 4, 2018 Accepting new patients
The Neighborhood Clinic, LLC Family Medicine PastSince Jul 25, 2024 Accepting new patients
Auburn Crest Hospice, LLC Family Medicine PastSince Aug 11, 2024 Accepting new patients

Locations

1110 E Polston Ave
Ste 1
Post Falls, ID 83854
Phone (208) 659-1789

3773 W 5th Ave
Ste 301
Post Falls, ID 83854
Phone (208) 773-1311

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Auburn Crest Hospice, LLCCoeur D Alene, ID, CCN 131559 Hospice Corporate Director Oct 18, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1659476844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 N GOVERNMENT WAY STE 114",
            "address_2": "PMB 105",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838157799",
            "telephone_number": "208-773-1311",
            "fax_number": "208-773-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8382 N WAYNE DR STE 205",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356028",
            "telephone_number": "208-665-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBAY",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0631",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "ID",
            "license": "O-0631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

Verify at the official NPI Registry.