Physician Compare National (NPI:1548208929)

HEALTHCARE PROVIDER: ROBERT L. OKSENHOLT D.O.

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

Individual Professional Information
NPI	1548208929
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052214368
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040202000446
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OKSENHOLT
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PULMONARY DISEASE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3489 NW HWY 101
	Group Practice or individual's line 1 address
Line 2 Street Address	DR BOB HEALTH CENTRE
	Group Practice or individual's line 2 address
City	LINCOLN CITY
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	973674959
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5416141515
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	381302
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAMARITAN NORTH LINCOLN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330057
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST PETER'S HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	380009
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OHSU HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y