Richard E Obringer Pac Prof Corp

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

RICHARD E OBRINGER PAC PROF CORP

Practice address

11413 Perugino Dr
Las Vegas, NV 89138-1533

Phone

(702) 499-7296

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Richard O'BringerNPI 1710937446

Title

President

Phone

(702) 499-7296

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADVANCED SURGICAL ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 3

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

• Richard E O'Bringer Jr., PAC

  • Surgical Physician Assistant
  • Las Vegas, NV
  • NPI 1710937446
  Medicare reassignment Authorized official
• William David Kelley, PA

  • Surgical Physician Assistant
  • Henderson, NV
  • NPI 1952351272
  Medicare reassignment
• Paul B Mendenhall, PA-C

  • Physician Assistant
  • St George, UT
  • NPI 1396011490

  NV

  Medicare reassignment

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1417037698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11413 PERUGINO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381533",
            "telephone_number": "702-499-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11413 PERUGINO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381533",
            "telephone_number": "702-499-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E OBRINGER PAC PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "O'BRINGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-499-7296"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503895",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED SURGICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie K Rich, MS-SLP
• Timothy Rich
• Victoria Rich
• Richard a Owen DC, LLC
• Richard David Washinsky MD LTD
• Richard F. Weiner, MD PC
• Richard Feher Health Services PLLC
• Richard Hodnett MD PC
• Yllaima Richard Membrides
• Richard R. Briggs, M.D., a Professional Organization

• Surgical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Surgical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.