Organization Active NPI

John P. Obermiller, M.D., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1396998050
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G5442 Issued in TX
Legal business name
JOHN P. OBERMILLER, M.D., P.A.
Practice address
4201 Bee Cave Road
Suite C-106
Austin, TX 78746-6493
Phone
(512) 279-2386
Fax
(512) 279-2387
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Dr. John P. Obermiller, M.D.
Title
President
Phone
(512) 279-2386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X G5442 TX Primary

Addresses

Primary practice location

4201 Bee Cave Road
Suite C-106
Austin, TX 78746-6493

Mailing address

PO Box 162622
Austin, TX 78716-2622
Phone (512) 279-2386

National Provider Directory

National Provider Directory

Locations

4201 Bee Caves Rd
Ste C106
West Lake Hills, TX 78746
Phone (512) 651-5542

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1396998050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162622",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787162622",
            "telephone_number": "512-279-2386",
            "fax_number": "512-279-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVE ROAD",
            "address_2": "SUITE C-106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466493",
            "telephone_number": "512-279-2386",
            "fax_number": "512-279-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. OBERMILLER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "OBERMILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-279-2386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "G5442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.