Individual provider Active NPI

Erin Leigh O'Brien, MD

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1215921218
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME113219 Issued in FL
Practice address
8715 Henderson Rd
Tampa, FL 33634-1143
Phone
(407) 375-0216
Fax
(716) 303-5853
NPI assigned
Sep 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L6292 TX
Obstetrics & Gynecology Physician 207V00000X ME113219 FL Primary

Addresses

Primary practice location

8715 Henderson Rd
Tampa, FL 33634-1143

Mailing address

8715 Henderson Rd
Tampa, FL 33634-1143
Phone (407) 375-0216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130322000330 FL Practitioner - Obstetrics/Gynecology 8921906694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Health Care, Inc. Current Accepting new patients
Central Florida Health Care, Inc. CurrentSince May 19, 2014 Accepting new patients
Cailleach LLC Current Accepting new patients
Central Florida Health Care, Inc CurrentSince May 19, 2014 Accepting new patients
Bluebonnet OB GYN Past Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

47 5th St NW
Winter Haven, FL 33881

201 Magnolia Ave SW
Winter Haven, FL 33880
Phone (863) 229-7950

Interoperability endpoints

  • Direct secure messaging: erin.o.brien.1@18455.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1215921218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143",
            "telephone_number": "407-375-0216",
            "fax_number": "716-303-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143",
            "telephone_number": "407-375-0216",
            "fax_number": "716-303-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ERIN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L6292",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME113219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.