Michael Francis O'Brien, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003610-1 Issued in NY

Practice address

103 Sitterly Rd Ste 2300
Halfmoon, NY 12065

Phone

(518) 579-2650

Fax

(518) 579-2670

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellis HospitalGroup PAC ID 5890607410, 250 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ellis Hospital Hospital, Schenectady, NY, CCN 330153

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Ellis Hospital

  • Emergency Medicine Physician
  • Schenectady, NY
  • NPI 1558547034
  Medicare reassignment Care Compare group NPD
• Saratoga Regional Medical , P.C

  • Nephrology Physician
  • Glens Falls, NY
  • NPI 1982094827
  Medicare reassignment NPD
• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993
  Medicare reassignment
• Healthcare Partners of Saratoga LTD

  • Urgent Care Clinic/Center
  • Malta, NY
  • NPI 1700159613
  Medicare reassignment
• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166
  Medicare reassignment
• Saratoga Hospital

  • Community/Retail Pharmacy
  • Saratoga Springs, NY
  • NPI 1164148110
  NPD
• Saratoga Hospital

  • Primary Care Clinic/Center
  • Schuylerville, NY
  • NPI 1366784886
  NPD
• Saratoga Regional Medical , P.C

  • Multi-Specialty Clinic/Center
  • Ballston Spa, NY
  • NPI 1902545148
  NPD
• Scotia Glenville Family Medicine, P.C.

  • Family Medicine Physician
  • Ballston Lake, NY
  • NPI 1619922218
  NPD
• Community Care Physicians, PLLC

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1922048370
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993
  Care Compare affiliation

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1104887884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SITTERLY RD STE 2300",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120655646",
            "telephone_number": "518-579-2650",
            "fax_number": "518-579-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SITTERLY RD STE 2300",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-579-2650",
            "fax_number": "518-579-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003610-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER NUMBER",
            "identifier": "324371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adria Erin Newberry, PA-C
• Nicole M O'Brien Nurse Practitioner in Family Health PLLC
• John J Noonan, DC
• Northway SPC LLC
• Nicole Alexandra Novondo, LP
• Nicole Marie O'Brien, DNP, FNP
• Melissa Orenstein, MS CCC-SLP
• Orthony Physical Therapy
• Orthopedicsny, LLP
• Orthopedicsny, LLP

• Physician Assistant in Halfmoon, NY
• Providers in Halfmoon, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.

Verify at the official NPI Registry.