Provider Demographics
NPI:1023291515
Name:OSTI, JR., JOSEPH V (DPM FACFAS)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:V
Last Name:OSTI, JR.
Suffix:
Gender:M
Credentials:DPM FACFAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 NILES CORTLAND RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-3591
Mailing Address - Country:US
Mailing Address - Phone:330-544-4141
Mailing Address - Fax:330-544-4134
Practice Address - Street 1:1170 NILES CORTLAND RD
Practice Address - Street 2:SUITE 1
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-3591
Practice Address - Country:US
Practice Address - Phone:330-544-4141
Practice Address - Fax:330-544-4134
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36 00 1823213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1699772822OtherNPI GROUP NUMBER