Provider Demographics
NPI:1982771044
Name:OSER, CRAIG RICHARD (DO)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:RICHARD
Last Name:OSER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 PARK MANOR BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-4819
Mailing Address - Country:US
Mailing Address - Phone:844-437-6737
Mailing Address - Fax:724-909-1711
Practice Address - Street 1:2201 PARK MANOR BLVD STE 400
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-4819
Practice Address - Country:US
Practice Address - Phone:844-437-6737
Practice Address - Fax:724-909-1711
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.0116392086S0122X, 208600000X
WV24412086S0122X, 208600000X
PAOS011852208600000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3031061Medicaid
WV3810016664Medicaid
PA102383718Medicaid
OH3031061Medicaid
OHH430020Medicare PIN
WVWV3428AMedicare PIN
WV4278981Medicare PIN