Mark T. O'Brien, D.O., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009744 Issued in MI

Legal business name

MARK T. O'BRIEN, D.O., P.C.

Practice address

4150 River Rd
Suite F2
East China, MI 48054-2915

Phone

(810) 329-4660

Fax

(810) 329-4699

NPI assigned

Jul 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark T O'Brien, D.O.

Title

Owner

Phone

(810) 329-4660

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Elizabeth Pietrangelo, MD

  • Forensic Pathology Physician
  • Saint Clair, MI
  • NPI 1477583946

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396943015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 RIVER RD",
            "address_2": "SUITE F2",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542915",
            "telephone_number": "810-329-4660",
            "fax_number": "810-329-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 RIVER RD",
            "address_2": "SUITE F2",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542915",
            "telephone_number": "810-329-4660",
            "fax_number": "810-329-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK T. O'BRIEN, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-329-4660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Kindsvater, MD
• Lisa Sue Koehn, MSW, CSW
• Laura Lucio-Reincke, PLLC
• Sherice Letarte
• Jeffrey L. Lukas, MD
• Julie Marquette
• Silvana Dhia Matte, M.D.
• Renee C McNeill, CRNA
• Medflex P.C
• Medilodge of St. Clair

• Family Medicine Physician in East China, MI
• Providers in East China, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.