NPIMap

Individual provider Active NPI

Jill Elizabeth Obert, PA

  • Medical Physician Assistant
  • Blue Ash, OH
National Provider Identifier
1255777983
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50-001471 Issued in OH
Practice address
4370 Malsbary Rd
Suite 100
Blue Ash, OH 45242-5653
Phone
(513) 791-1222
Fax
(513) 791-2561
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50-001471 OH Primary

Addresses

Primary practice location

4370 Malsbary Rd
Suite 100
Blue Ash, OH 45242-5653

Mailing address

4370 Malsbary Rd
Suite 100
Blue Ash, OH 45242-5653
Phone (513) 791-1222

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)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50-001471OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Cincinnati, Inc Past Accepting new patients
Children'S Hospital Medical Center Past Accepting new patients

Organizations & group practices 2

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1255777983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 MALSBARY RD",
            "address_2": "SUITE 100",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425653",
            "telephone_number": "513-791-1222",
            "fax_number": "513-791-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 MALSBARY RD",
            "address_2": "SUITE 100",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425653",
            "telephone_number": "513-791-1222",
            "fax_number": "513-791-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERT",
        "first_name": "JILL",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50-001471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.