Michael Paul Oberdoerster, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

35053107 Issued in OH

Practice address

2600 Victory Pkwy
Cincinnati, OH 45206-1711

Phone

(513) 872-5863

Fax

(513) 861-1718

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083762371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 KENDALL AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081111",
            "telephone_number": "513-871-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061711",
            "telephone_number": "513-872-5863",
            "fax_number": "513-861-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERDOERSTER",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35053107",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35053107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0645837",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carisha Oats
• Naconia Oats
• Omotayo Obayanju
• Kathryn Ann Obee, RPH
• Eric Obeng
• Kelly Lynne Oberholtzer, WHNP
• Camberly Marie Oberlin
• Chelsea Marie Obermeyer, C.N.P
• Maria Helen Obermeyer, APRN-CNP
• Sarika Oberoi

• Geriatric Psychiatry Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Geriatric Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.