The Osterbauer Clinic LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

THE OSTERBAUER CLINIC LLC

Practice address

10928 Eagle River Rd Ste 129
Eagle River, AK 99577-8078

Phone

(907) 531-1840

Fax

(907) 531-1835

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Peter John Osterbauer, MDNPI 1831115955

Title

Owner

Phone

(907) 531-1840

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter J Osterbauer, M.D.

  • Neurology Physician
  • Eagle River, AK
  • NPI 1831115955
  NPD Authorized official

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1881272664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770165",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995770165",
            "telephone_number": "907-531-1840",
            "fax_number": "907-802-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD STE 129",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778078",
            "telephone_number": "907-531-1840",
            "fax_number": "907-531-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OSTERBAUER CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "OSTERBAUER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-531-1840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1831115955",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Neurology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.