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	I20140418000124
	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	CRITICAL CARE (INTENSIVISTS)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ST PETERS HOSPITAL OF THE CITY OF ALBANY
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2668460072
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	165
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	315 S MANNING BLVD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	ALBANY
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	122081707
	Group Practice or individual's zip code (9 digits when available)

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