Michael K Obeng, MD

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

35.088914 Issued in OH

Practice address

435 N Roxbury Dr Ste 205
Miko Plastic Surgery
Beverly Hills, CA 90210-5004

Phone

(310) 275-2705

Fax

(310) 275-2701

NPI assigned

Apr 19, 2006

Last updated

Jan 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cambridge Physicians Group

  • Surgery Physician
  • Beverly Hills, CA
  • NPI 1972120194
  Authorized official Same address or phone
• Miko Anesthesia Group

  • Anesthesiology Physician
  • Beverly Hills, CA
  • NPI 1255727541
  Authorized official Same address or phone
• Miko Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1881028629
  Authorized official Same address or phone
• Oxford Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1841883659
  Authorized official Same address or phone
• Mercy Health Youngstown LLC

  dba Mercy Health Home Medical Equipment Youngstown

  • Durable Medical Equipment & Medical Supplies
  • Youngstown, OH
  • NPI 1245180785
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1407811854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DRIVE SUITE 205",
            "address_2": "MIKO PLASTIC SURGERY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-275-2705",
            "fax_number": "310-275-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 205",
            "address_2": "MIKO PLASTIC SURGERY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105004",
            "telephone_number": "310-275-2705",
            "fax_number": "310-275-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENG",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A107087",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "OH",
            "license": "35.088914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oasis Anesthesia Medical Group, Inc.
• Serene Obagi, NP-C
• Zaidal Aseel Obagi, MD
• Zein E. Obagi
• Melody Obedian
• Vivian Oberfeld, MFT
• Shireen H Oberman, LCSW
• Jasmine Onyeka Bowers Obioha, MD
• Sara Kristeen Obrien, NURSE PRACTITIONER
• Ocean Anesthesia Group PC

• Surgery of the Hand (Plastic Surgery) Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Surgery of the Hand (Plastic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.