Gordon E. Oster, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA84 Issued in ID

Practice address

500 W Fort St
Boise, ID 83702-4501

Phone

(208) 422-1136

Fax

(208) 422-1243

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700899838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 W RINGBILL CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141295",
            "telephone_number": "208-375-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W FORT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024501",
            "telephone_number": "208-422-1136",
            "fax_number": "208-422-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTER",
        "first_name": "GORDON",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ID",
            "license": "PA84",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osprey Counseling
• Osprey Transportation
• Marsha JT Oss, CADC, CDC II, BHC II
• Madeline Ostberg
• Oster Medical Group
• Sharon E Oster, MD
• Barbra Osterhout, M.S.
• John Patrick Osterkamp, M.D.
• Rebecca Osterkamp, MD
• Misty Ostler, LMSW

• Surgical Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Surgical Physician Assistant in Idaho

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.