Active NPI
Jeanne E O'Brien, M.D.
- Reproductive Endocrinology Physician
- Rockville, MD
National Provider Identifier
1164503058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- D0064448
- Practice address
- 15001 Shady Grove Rd
Suite 400
Rockville, MD 20850-6352 - Phone
- (301) 340-1188
- Fax
- (301) 340-1612
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | D0064448 | MD | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | IL |
Addresses
Primary practice location
15001 Shady Grove Rd
Suite 400
Rockville, MD 20850-6352
Mailing address
15001 Shady Grove Rd
Suite 400
Rockville, MD 20850-6352
Phone (301) 340-1188
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199489 | Other | ANTHEM | |
| 886940-01 | Other | MD | CAREFIRST BCBS |
| 0906-0020 | Other | CAREFIRST BCBS | |
| 2147646 | Other | MAMSI | |
| 260038 | Other | KAISER PERMANENTE | |
| 1257626 | Other | AETNA | |
| 756592 | Other | NCPPO | |
| 198489 | Other | ANTHEM HEALTHKEEPERS | |
| 2147646 | Other | UNITEDHEALTHCARE | |
| 4161559 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-098772 | IL | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shady Grove Fertility Reproductive Science Center | Reproductive Endocrinology | Past | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shady Grove Reproductive Science Center PC | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Reproductive Endocrinology Physician
- Rockville, MD
- NPI 1891849832
-
- Ambulatory Surgical Clinic/Center
- Rockville, MD
- NPI 1437232758
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164503058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15001 SHADY GROVE RD",
"address_2": "SUITE 400",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506352",
"telephone_number": "301-340-1188",
"fax_number": "301-340-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15001 SHADY GROVE RD",
"address_2": "SUITE 400",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506352",
"telephone_number": "301-340-1188",
"fax_number": "301-340-1612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "JEANNE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MD",
"license": "D0064448",
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "199489",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "886940-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "0906-0020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2147646",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "260038",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1257626",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "756592",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEPERS",
"identifier": "198489",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "2147646",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4161559",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.