Individual provider Active NPI

Paula Banser Osterhout, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Brookfield, WI
National Provider Identifier
1871814293
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
036.132101 Issued in IL
Practice address
17345 Civic Dr Ste 1327
Brookfield, WI 53045-5070
Phone
(414) 447-7330
Fax
(414) 447-1070
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 65051-20 WI
Neonatal-Perinatal Medicine Physician 2080N0001X 036.132101 IL Primary

Addresses

Primary practice location

17345 Civic Dr Ste 1327
Brookfield, WI 53045-5070

Mailing address

17345 Civic Dr Ste 1327
Brookfield, WI 53045-5070
Phone (414) 447-7330

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.132101ILMDNeonatal-Perinatal Medicine Physician
65051-20WIMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paula Osterhout MD, LLC Neonatal-Perinatal Medicine Current Accepting new patients
Newborn Care Physicians of Southeastern Wisconsin, LLP Neonatal-Perinatal Medicine CurrentSince May 11, 2025 Accepting new patients

Locations

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

975 Port Washington Rd
Grafton, WI 53024
Phone (262) 329-1000

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

3070 N 51st St
#P309
Milwaukee, WI 53210
Phone (414) 447-7330

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

8905 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1871814293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17345 CIVIC DR STE 1327",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455070",
            "telephone_number": "414-447-7330",
            "fax_number": "414-447-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17345 CIVIC DR STE 1327",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455070",
            "telephone_number": "414-447-7330",
            "fax_number": "414-447-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERHOUT",
        "first_name": "PAULA",
        "middle_name": "BANSER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WI",
            "license": "65051-20",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036.132101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.