Organization Active NPI

Sean M Obrien DO LLC

  • Nephrology Physician
  • Tucson, AZ
National Provider Identifier
1306029665
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2883 Issued in AZ
Legal business name
SEAN M OBRIEN DO LLC
Practice address
4713 N 1St Ave
Tucson, AZ 85718-5610
Phone
(520) 229-3400
Fax
(520) 229-3416
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Dr. Sean Michael Obrien, D.O.
Title
President
Phone
(520) 229-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 2883 AZ Primary

Addresses

Primary practice location

4713 N 1St Ave
Tucson, AZ 85718-5610

Mailing address

PO Box 65018
Tucson, AZ 85728-5018
Phone (520) 229-3400

National Provider Directory

National Provider Directory

Locations

7435 N Oracle Rd
Ste 101
Tucson, AZ 85704
Phone (520) 229-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13504/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1306029665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65018",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857285018",
            "telephone_number": "520-229-3400",
            "fax_number": "520-229-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185610",
            "telephone_number": "520-229-3400",
            "fax_number": "520-229-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN M OBRIEN DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-229-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "2883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.