Daniel K Ostlie (NPI# 1083632673, PAC ID# 6406865997) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1083632673 |
| PAC ID by PECOS | 6406865997 |
| Professional Enrollment ID | I20060411000566 |
| Full Name | Daniel K Ostlie |
| Organization Legal Name | INNOVIS HEALTH, LLC |
| Address |
275 11th St S Wahpeton ND 58075-4655 |
| Phone Number | 7016422000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 9931298155 |
| Number of Group Practice Members | 371 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350070 | ESSENTIA HEALTH |
| 240101 | ESSENTIA HEALTH ST MARYS - DETROIT LAKES |
| Address | Phone | Organization |
|---|---|---|
| 3000 32nd Ave S, Fargo, ND 58103-6132 | 7013648000 | INNOVIS HEALTH, LLC |
| 275 11th St S, Wahpeton, ND 58075-4655 | 7016422000 | INNOVIS HEALTH, LLC |
| Organization Legal Name | INNOVIS HEALTH, LLC |
| Physicians | 358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyrie Marie Severson | Nurse Practitioner | Innovis Health, LLC | 4622 40th Ave S, Suite A, Fargo, ND 58104-4394 |
| Holli Marquart | Nurse Practitioner | Innovis Health, LLC | 2430 20th St Sw, Jamestown, ND 58401-6201 |
| Michelle R Bradley | Family Medicine | Innovis Health, LLC | 4110 51st Ave S, Fargo, ND 58104-7776 |
| Taylor G Mertz | Family Medicine | Innovis Health, LLC | 801 Belsly Blvd, Moorhead, MN 56560-5055 |
| Bonita J Jenzen | Nurse Practitioner | Innovis Health, LLC | 501 Main Ave S, Hankinson, ND 58041-4108 |
| Zena K Homan | Obstetrics/gynecology | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Daniel J Levin | Optometry | Innovis Health, LLC | 1100 19th Ave N, Suite Landm, Fargo, ND 58102-5906 |
| Brian K Cooper | Physician Assistant | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Joel Ross Haugen | Family Medicine | Innovis Health, LLC | 5 9th Ave N, Casselton, ND 58012-3339 |
| Hans E Bjellum | Family Medicine | Innovis Health, LLC | 720 Main Ave, Moorhead, MN 56560-2752 |
| Street Address |
275 11TH ST S |
| City | WAHPETON |
| State | ND |
| Zip | 58075-4655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian K Cooper | Physician Assistant | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Peggy J Wasemiller | Occupational Therapy | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Tracy Dozak | Nurse Practitioner | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Stefanie S Gefroh Ellison | Obstetrics/gynecology | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Benjamin Alan Lofgren | Physical Therapy | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Ryan A Ehrmantraut | Physical Therapy | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Andrew Zetocha | Chiropractic | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Danielle Jo Mullin | Nurse Practitioner | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Jordan J Coplin | Nurse Practitioner | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Bradley R Olson | Podiatry | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jace H Picken | Optometry | Prairie Vision Center PC | 315 11th St N A, Wahpeton, ND 58075-4101 |
| William J Welder | Optometry | Prairie Vision Center PC | 315 11th St N A, Wahpeton, ND 58075-4101 |
| Alisa T Mitskog | Chiropractic | 1001 2nd Ave N, Wahpeton, ND 58075-4309 | |
| Kevin G Paape | Chiropractic | Healing Arts Chiropractic, PC | 709 Dakota Ave, Suite B, Wahpeton, ND 58075-4333 |
| Garret Scott Schwinghammer | Chiropractic | Healing Arts Chiropractic, PC | 709 Dakota Ave, Suite B, Wahpeton, ND 58075-4333 |
| Mark Gunderson | Chiropractic | Healing Arts Chiropractic, PC | 709 Dakota Ave, Suite B, Wahpeton, ND 58075-4333 |
| Charlsey Logan Johnson | Chiropractic | Healing Arts Chiropractic, PC | 709 Dakota Ave, Suite B, Wahpeton, ND 58075-4333 |
| Kaitlin Landowski | Chiropractic | Healing Arts Chiropractic, PC | 709 Dakota Ave, Suite B, Wahpeton, ND 58075-4333 |
| Michael D Jacklitch | Chiropractic | 1001 2nd Ave N, Suite C, Wahpeton, ND 58075-4337 | |
| Andrea L Hornstein | Chiropractic | 715 Dakota Ave, Suite 2, Wahpeton, ND 58075-4342 | |
| Find all physicians in zip 58075 | |||
| City | WAHPETON |
| Zip Code | 58075 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | WAHPETON + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Daniel K Ostlie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.