Mark E Oberlies MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARK E OBERLIES MD PC

Practice address

16909 Lakeside Hills CT Ste 111
Omaha, NE 68130-4661

Phone

(402) 435-1400

Fax

(402) 858-1281

NPI assigned

Sep 20, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark E Oberlies, MDNPI 1194883298

Title

President

Phone

(402) 616-4360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark E Oberlies, MD

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1194883298
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1083198519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 LAKESIDE HILLS CT STE 111",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304661",
            "telephone_number": "402-435-1400",
            "fax_number": "402-858-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 LAKESIDE HILLS CT STE 111",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304661",
            "telephone_number": "402-435-1400",
            "fax_number": "402-858-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E OBERLIES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "OBERLIES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-616-4360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samonna Marion
• Shalee Marion
• Sky Marion
• Taminia Shaezay Marion
• Janna Mariscal
• Mark J. Milone, M.D., P.C.
• Mark Quinlan MD PC
• Christina Mark, PHD, LP
• Cleavon Marker
• Demetrice Marker

• Internal Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.