Individual provider Active NPI

Sunanta L Ober, M.D.

  • Pediatrics Physician
  • Salem, NH
National Provider Identifier
1265528962
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
53884 Issued in MA
Practice address
22 Main Street
Salem, NH 03079-5900
Phone
(603) 893-7905
Fax
(603) 898-6106
NPI assigned
Oct 4, 2006
Last updated
Apr 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 53884 MA Primary

Addresses

Primary practice location

22 Main Street
Salem, NH 03079-5900

Mailing address

22 Main Street
Salem, NH 03079-5900
Phone (603) 893-7905

Other identifiers 1

IdentifierTypeStateIssuer
6188435MedicaidMA

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

LicenseStateTypeSpecialty
53884MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caritas Medical Group, Inc. Past Accepting new patients
North Andover Physicl Therapy PC Past Accepting new patients
Abc Pediatrics Pediatrics Past Accepting new patients
Pediatrics at Chestnut Greens 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1265528962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MAIN STREET",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030795900",
            "telephone_number": "603-893-7905",
            "fax_number": "603-898-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MAIN STREET",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030795900",
            "telephone_number": "603-893-7905",
            "fax_number": "603-898-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBER",
        "first_name": "SUNANTA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "53884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6188435",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.