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KATIEOSTROMMD NPI 1093352502


NPI Information

NPI: 1093352502
Provider Name: KATIEOSTROMMD

Doing Business As: KATIE OSTROM MD, LLC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 02D2176366

Address:
205 W FAIRVIEW
HOMER, AK
ZIP 99603
Phone: (907) 435-0555
Get Directions

KATIEOSTROMMD is an obstetrics gynecology in Homer, AK. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. KATIEOSTROMMD NPI is 1093352502. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Katie Ostrom Md, Llc.

The provider's business location address is:

205 W FAIRVIEW
HOMER, AK
ZIP 99603
Phone: (907) 435-0555
Fax: (907) 435-0559

The provider's authorized official is Alba I. Diaz Carmona .
The authorized official title is Practice Manager and has the following contact phone number (907) 744-4648.

The CLIA number assigned to this NPI record is 02D2176366 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/3/2019 and was last updated on 3/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11702227MEDICAIDALASKA
21007494MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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