Basic Information
| Provider Information | |||||||||
| NPI: | 1114283066 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OSTERBUR | ||||||||
| FirstName: | JACOB | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10500 MONTGOMERY RD | ||||||||
| Address2: | DEPT OF HOSPITAL MEDICINE | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452424402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138652246 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10500 MONTGOMERY RD | ||||||||
| Address2: | DEPT OF HOSPITAL MEDICINE | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452424402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138652246 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2012 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 34.011120 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 02004932A | IN | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 34.011120 | OH | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.