Provider Demographics
NPI:1235275660
Name:OSMANSKI, JAMES P II (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:OSMANSKI
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:937 HIGHLAND BLVD STE 5410
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-6916
Mailing Address - Country:US
Mailing Address - Phone:406-414-4260
Mailing Address - Fax:406-414-3610
Practice Address - Street 1:10105 N GENEVIEVE LN
Practice Address - Street 2:
Practice Address - City:NEWMAN LAKE
Practice Address - State:WA
Practice Address - Zip Code:99025-8506
Practice Address - Country:US
Practice Address - Phone:406-414-4260
Practice Address - Fax:406-414-3610
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT35230207RS0012X
ID0209207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1235275660Medicaid
IDP00007552OtherRR MEDICARE
IDS2772OtherBLUE CROSS
ID805234600Medicaid
WA1107978Medicaid
ID1301746Medicare PIN
ID805234600Medicaid