Healthcare Provider Details

I. General information

NPI: 1508213745
Provider Name (Legal Business Name): PETER STEVEN OSTLING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2016
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HOSPITAL DR
MONROE NC
28112-6000
US

IV. Provider business mailing address

6135 PARK SOUTH DR STE 510
CHARLOTTE NC
28210-0100
US

V. Phone/Fax

Practice location:
  • Phone: 980-993-3100
  • Fax:
Mailing address:
  • Phone: 704-749-3116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number63379
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2024-00544
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: