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Contact Information

DAVID R OSTERHUS, MD
5 SHERIDAN SQ
KINGSPORT, TN37660-7390
 Phone: 423-246-8155
 Fax: 423-246-8658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DAVID R OSTERHUS · (Male)

NPI # 1619973047
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2005
Last updated 04/23/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD38788
  • KY Medicaid 7100013330
  • TN Medicaid 3896008
  • VA Medicaid 010138418
Hospital affiliation(s)
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • JOHNSON CITY MEDICAL CENTER - (Acute Care)
    400 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN 37604
  • WELLMONT BRISTOL REGIONAL MEDICAL CENTER - (Acute Care)
    ONE MEDICAL PARK BLVD
    BRISTOL, TN 37620
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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