Individual provider Active NPI

Lori Beth Oswald, PA-C

  • Surgical Physician Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1922051770
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9105268 Issued in FL
Practice address
11020 Rca Center Dr Ste 2010
Palm Beach Gardens, FL 33410-4277
Phone
(561) 881-8800
Fax
(561) 848-5878
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601002121 MI
Surgical Physician Assistant 363AS0400X PA9105268 FL Primary

Addresses

Primary practice location

11020 Rca Center Dr Ste 2010
Palm Beach Gardens, FL 33410-4277

Mailing address

11020 Rca Center Dr Ste 2010
Palm Beach Gardens, FL 33410-4277
Phone (561) 881-8800

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9105268FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Group Past Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1922051770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 RCA CENTER DR STE 2010",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104277",
            "telephone_number": "561-881-8800",
            "fax_number": "561-848-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 RCA CENTER DR STE 2010",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104277",
            "telephone_number": "561-881-8800",
            "fax_number": "561-848-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "LORI",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002121",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.