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NPI Code Detail

MEDICARE: DR. RICHARD JAMES OSTENDORF M.D.

MEDICARE: DR. RICHARD JAMES OSTENDORF M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0500XPreventive Medicine/Occupational Environmental Medicine Physician35048165OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275525396
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD JAMES OSTENDORF M.D.
Provider Business Mailing Address
First Line : 8837 APPLE HILL RD
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44023-5821
Country : US
Telephone Number : 440-543-6728
Fax Number :
Provider Business Practice Location Address
First Line : 5555 TRANSPORTATION BLVD
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-5371
Country : US
Telephone Number : 216-518-3655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 07/08/2007

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