Individual provider Active NPI

Joshua Blaine Ostler, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1770740995
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1344 Issued in NV
Practice address
2809 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1998
Phone
(702) 476-9999
Fax
(702) 946-1343
NPI assigned
May 16, 2008
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1344 NV Primary

Addresses

Primary practice location

2809 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1998

Mailing address

2809 W Charleston Blvd
Ste 150
Las Vegas, NV 89102-1998
Phone (702) 476-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000233 NV Practitioner - Physician Assistant 6204010515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coppel Medical Enterprise LLCGroup PAC ID 8921140641, 20 clinicians

Practice addresses (Care Compare)

2809 W Charleston Blvd
Suite 150
Las Vegas, NV 89102-1998
Phone (702) 476-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1344NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joshua.ostler@5193.chartlogic.direct-ci.com

Organizations & group practices 2

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1770740995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 W CHARLESTON BLVD",
            "address_2": "STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021998",
            "telephone_number": "702-476-9999",
            "fax_number": "702-946-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 W CHARLESTON BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021998",
            "telephone_number": "702-476-9999",
            "fax_number": "702-946-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTLER",
        "first_name": "JOSHUA",
        "middle_name": "BLAINE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.