Chelsea Ann Obourn, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

100 North Academy Avenue
Geisinger Medical Center
Danville, PA 17822

Phone

(570) 271-6211

NPI assigned

May 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Otolaryngology

Education

State University of New York Downstate Medical Center, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside ENT and Allergy LLCGroup PAC ID 3577556190, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074

Merit-based Incentive Payment System (MIPS)

Final score

79.49 of 100Reported as group

Quality

61.65

Improvement activities

40

Cost

77.48

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chelsea.obourn.1@20310.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20310/brand/1/csg/1/fhir/r4

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.

• Lakeside ENT & Allergy LLC.

  • Otolaryngology Physician
  • Canandaigua, NY
  • NPI 1841211836
  Medicare reassignment Care Compare group NPD
• Edwin F Williams III MD Facial Plastic Surgery, PLLC

  • Otolaryngology Physician
  • Latham, NY
  • NPI 1679565410
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Frederick Ferris Thompson Hospital

  • General Acute Care Hospital
  • Canandaigua, NY
  • NPI 1194776351
  Care Compare affiliation

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1356600217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVENUE",
            "address_2": "GEISINGER MEDICAL CENTER",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "17822",
            "telephone_number": "585-739-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVENUE",
            "address_2": "GEISINGER MEDICAL CENTER",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "17822",
            "telephone_number": "570-271-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBOURN",
        "first_name": "CHELSEA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaid Obada, MD
• Hunter Obeid
• Austin Oberholzer, PAC
• Jordyn Obert, OTD
• Leigh Anne Obmann, CRNA
• Vladan Obradovic, MD
• Shannon M Oertle, CRNA
• Kevin Thomas Ogorzalek, PTA
• Joan Oguntimein, MD
• Jared Akira Okada, DO

• Student in an Organized Health Care Education/Training Program in Danville, PA
• Providers in Danville, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.