Active NPI
Catherine Lloyd O'Brien, M.D.
- Allergy & Immunology Physician
- Wareham, MA
National Provider Identifier
1205800810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 34833
- Practice address
- 53 Marion Rd
Suite 7
Wareham, MA 02571-1406 - Phone
- (508) 295-5572
- Fax
- (508) 291-2777
- NPI assigned
- Feb 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 34833 | MA | Primary |
Addresses
Primary practice location
53 Marion Rd
Suite 7
Wareham, MA 02571-1406
Mailing address
506 Fallbrook Dr
Venice, FL 34292-3149
Phone (941) 496-4010
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2046229 | Medicaid | MA | |
| M08500 | Other | MA | BLUECROSS BLUESHIELD |
| 708925 | Other | MA | TUFTS HEALTH INSURANCE |
| 2237497 | Other | MA | UNITED HEALTHCARE |
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 |
|---|---|---|---|
| 34833 | MA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy and Asthma Associates - South, P.C. | Allergy & Immunology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Buzzards Bay, MA
- NPI 1447259536
Allergy & Immunology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1205800810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 FALLBROOK DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342923149",
"telephone_number": "941-496-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 MARION RD",
"address_2": "SUITE 7",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025711406",
"telephone_number": "508-295-5572",
"fax_number": "508-291-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "CATHERINE",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MA",
"license": "34833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2046229",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "M08500",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH INSURANCE",
"identifier": "708925",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2237497",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.