Active NPI
Maureen O'Brien, M.D.
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1386891778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME77109
- Practice address
- 9857 Old Saint Augustine Rd
Jacksonville, FL 32257-8853 - Phone
- (904) 260-4461
- Fax
- (904) 861-1914
- NPI assigned
- Aug 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME77109 | FL | Primary |
Addresses
Primary practice location
9857 Old Saint Augustine Rd
Jacksonville, FL 32257-8853
Mailing address
9857 Old Saint Augustine Rd
Jacksonville, FL 32257-8853
Phone (904) 260-4461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME77109 | Other | FL | LICENSE NUMBER |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Doctors Center Inc | Family Medicine | Past | Accepting new patients |
| Lamounette Chiropractic Clinic Inc | Past | Accepting new patients | |
| Ulysses D. Findley, MD, PA | Past | Accepting new patients | |
| Bethesda/Solantic Joint Venture, LLC | Past | Accepting new patients | |
| Tenet-Solantic Joint Venture LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1730329038
-
- Chiropractor
- Jacksonville, FL
- NPI 1942878327
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1104159755
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1053366880
-
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Jacksonville, FL
- NPI 1518223965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1386891778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9857 OLD SAINT AUGUSTINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578853",
"telephone_number": "904-260-4461",
"fax_number": "904-861-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9857 OLD SAINT AUGUSTINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578853",
"telephone_number": "904-260-4461",
"fax_number": "904-861-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "MAUREEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME77109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "ME77109",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.