JORDAN OSTERMAN PA NPI 1144787805

NPI Information

NPI: 1144787805
Provider Name: JORDAN OSTERMAN, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: INTERMOUNTAIN HEALTHCARE SERVICES, INC

PECOS Registration: Yes

Address:
5169 S COTTONWOOD ST STE 400
MURRAY, UT
ZIP 84107
Phone: (303) 931-2731
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Jordan Osterman, PA is a surgical physician assistant in Murray, UT with 5 years of experience. Jordan Osterman, PA NPI is 1144787805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5169 S COTTONWOOD ST STE 400
MURRAY, UT
ZIP 84107-769
Phone: (303) 931-2731

The NPI 1144787805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2019 and was last updated on 7/1/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA.0006153	COLORADO	No
2	363AS0400X	Physician Assistant	Surgical	11820832-1206	UTAH	Yes

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: 11/14/2023

NPI Synchronization or Removal

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