Provider Demographics
NPI:1598942195
Name:DR OSH & ASSOCIATES PC
Entity Type:Organization
Organization Name:DR OSH & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GIGI
Authorized Official - Middle Name:
Authorized Official - Last Name:DY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-328-6466
Mailing Address - Street 1:940 PIO NONO AVE
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-4059
Mailing Address - Country:US
Mailing Address - Phone:478-738-9944
Mailing Address - Fax:
Practice Address - Street 1:940 PIO NONO AVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-4059
Practice Address - Country:US
Practice Address - Phone:478-738-9944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU62334Medicare UPIN
GA4399070002Medicare NSC