Provider Demographics
NPI:1447453782
Name:OSTEEN, KRISTIE DAWN (MD)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:DAWN
Last Name:OSTEEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRISTE
Other - Middle Name:DAWN
Other - Last Name:CRANSHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:1514 JEFFERSON HIGHWAY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121
Practice Address - Country:US
Practice Address - Phone:919-684-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-00561207L00000X
LAMD.200019207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1058483Medicaid
MS03729719Medicaid
MS03729719Medicaid
LA4N499Medicare PIN
LA4N4997061Medicare PIN