Provider Demographics
NPI:1881659647
Name:THOMAS L OSTEEN MD
Entity Type:Organization
Organization Name:THOMAS L OSTEEN MD
Other - Org Name:ORTHOPAEDIC SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANA
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-626-0031
Mailing Address - Street 1:138A DUBLIN SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-8627
Mailing Address - Country:US
Mailing Address - Phone:336-626-2688
Mailing Address - Fax:336-626-4100
Practice Address - Street 1:138A DUBLIN SQUARE RD
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-8627
Practice Address - Country:US
Practice Address - Phone:336-626-2688
Practice Address - Fax:336-626-4100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890291PMedicaid
NC2320717Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
NC0197270001Medicare NSC