Active NPI
Michael O'Brien, DO
- Internal Medicine Physician
- North Conway, NH
National Provider Identifier
1043343056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17075
- Practice address
- 3073 White Mountain Hwy
North Conway, NH 03860-7101 - Phone
- (603) 356-5472
- Fax
- (603) 356-9647
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACP069 | NH | |
| Internal Medicine Physician | 207R00000X | 17075 | NH | Primary |
Addresses
Primary practice location
3073 White Mountain Hwy
North Conway, NH 03860-7101
Mailing address
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5472
Other practice location 1
273 County Rd
New London, NH 03257-5736
Phone (540) 553-1632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3101243 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150717000030 | NH | Practitioner - Internal Medicine | 1052545969 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital
Practice addresses (Care Compare)
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461
Hospital & facility affiliations
- Visiting Nurse Home Care&Hospice of Carroll County
- Memorial Hospital, the
- Mainehealth Maine Medical Center
- Bridgton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACP069 | NH | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients |
Locations
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
Interoperability endpoints
- mobrien9951@direct.mmc.mainehealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medicare Defined Swing Bed Hospital Unit
- North Conway, NH
- NPI 1942361985
-
- Rural Health Clinic/Center
- North Conway, NH
- NPI 1932624624
-
- Family Medicine Physician
- North Conway, NH
- NPI 1992000103
Hospital & facility affiliations 43
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- North Conway, NH
- NPI 1629060926
Hospital
-
- Home Health Agency
- North Conway, NH
- NPI 1649222357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1043343056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3073 WHITE MOUNTAIN HWY",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038607101",
"telephone_number": "603-356-5472",
"fax_number": "603-356-9647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3073 WHITE MOUNTAIN HWY",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038607101",
"telephone_number": "603-356-5472",
"fax_number": "603-356-9647"
}
],
"practiceLocations": [
{
"address_1": "273 County Rd",
"address_purpose": "LOCATION",
"city": "New London",
"state": "NH",
"postal_code": "032575736",
"country_code": "US",
"telephone_number": "540-553-1632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BRIEN",
"first_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2024-01-15",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NH",
"license": "ACP069",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "17075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3101243",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.