John C Oeltjen, MD, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME96192 Issued in FL

Legal business name

JOHN C OELTJEN, MD, LLC

Practice address

8740 SW 88TH St
Suite 218
Miami, FL 33176-2212

Phone

(305) 974-1627

Fax

(305) 596-6120

NPI assigned

Sep 12, 2014

Last updated

Sep 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John C Oeltjen, MD, PHD

Title

President

Phone

(305) 974-1627

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1730580457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565715",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332565715",
            "telephone_number": "305-974-1627",
            "fax_number": "305-596-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 SW 88TH ST",
            "address_2": "SUITE 218",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762212",
            "telephone_number": "305-974-1627",
            "fax_number": "305-596-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C OELTJEN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "OELTJEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-974-1627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME96192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.