Provider Demographics
NPI:1659809572
Name:OSTLER, CALIN BAILY (PA-C)
Entity Type:Individual
Prefix:
First Name:CALIN
Middle Name:BAILY
Last Name:OSTLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CALIN
Other - Middle Name:BAILY
Other - Last Name:COCHRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10658 E COUNTY ROAD 100 N
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IN
Mailing Address - Zip Code:46041-8968
Mailing Address - Country:US
Mailing Address - Phone:765-413-3968
Mailing Address - Fax:
Practice Address - Street 1:1701 S CREASY LN
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-4972
Practice Address - Country:US
Practice Address - Phone:765-502-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
IN10002253A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300006161Medicaid