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TREVOR VAN OOSTROM M.D. NPI 1730130014


NPI Information

NPI: 1730130014
Provider Name: TREVOR VAN OOSTROM, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2500 S WOODWORTH LOOP
PALMER, AK
ZIP 99645
Phone: (907) 745-0374
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Trevor Van Oostrom, M.D. is a specialist in Palmer, AK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Trevor Van Oostrom, M.D. NPI is 1730130014. 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:

2500 S WOODWORTH LOOP
PALMER, AK
ZIP 99645-984
Phone: (907) 745-0374
Fax: (907) 745-0200

The enumeration date for this NPI number is 5/12/2006 and was last updated on 7/9/2007.


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
1174400000XSpecialist5592ALASKAYes

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
1MD0271MEDICAIDALASKA
2150657MEDICARE ID-TYPE UNSPECIFIEDALASKAGROUP MCR#
3MDG417MEDICAIDALASKA
4CI9459OTHERALASKAGROUPS RR MCR#
5P00283147OTHERALASKAVANOO RAILROAD MCR#
6160415MEDICARE ID-TYPE UNSPECIFIEDALASKAVANOOSTROM MCR#

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.