Physician Compare National (NPI:1053524116)

HEALTHCARE PROVIDER: ROBERT A OESTERLE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053524116
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668633934
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120412000636
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OESTERLE
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	300 HEALTH PARK BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3008
	Group Practice or individual's line 2 address
City	ST. AUGUSTINE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	320863703
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100090
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FLAGLER HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100118
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FLORIDA HOSPITAL FLAGLER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100232
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PUTNAM COMMUNITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y