Basic Information
Provider Information
NPI: 1174919575
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OSTERMEIER
FirstName: AUSTIN
MiddleName: JAMES
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 CHILDRENS PL
Address2: MSC 8515-87-1200
City: SAINT LOUIS
State: MO
PostalCode: 631101002
CountryCode: US
TelephoneNumber: 3144546095
FaxNumber: 3147472076
Practice Location
Address1: 1 CHILDRENS PL
Address2: DIV PED HOSPITALIST MED
City: SAINT LOUIS
State: MO
PostalCode: 631101002
CountryCode: US
TelephoneNumber: 3144542076
FaxNumber: 3147478953
Other Information
ProviderEnumerationDate: 04/13/2015
LastUpdateDate: 11/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PP0204X2021009977MON Allopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
208000000X2021009977MON Allopathic & Osteopathic PhysiciansPediatrics 
208M00000X2021009977MOY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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