NPIMap

Individual provider Active NPI

Barbara Anne O'Brien, DO

  • Adult Medicine Physician
  • Ellisville, MO
National Provider Identifier
1437211794
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
2003000621 Issued in MO
Practice address
225 Clarkson Rd
Ellisville, MO 63011-2278
Phone
(636) 685-7715
Fax
(314) 590-5916
NPI assigned
Dec 14, 2006
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 2003000621 MO Primary

Addresses

Primary practice location

225 Clarkson Rd
Ellisville, MO 63011-2278

Mailing address

225 Clarkson Rd
Ellisville, MO 63011-2278
Phone (636) 230-5050

Other identifiers 10

IdentifierTypeStateIssuer
00000001482OtherESSENCE
036117870OtherILBCBS IL
633328OtherHEALTHLINK
209258102MedicaidMO
182228OtherMOBCBS
322212OtherGHP
8008001OtherCIGNA
000000014182OtherMOESSENCE
2312375OtherUHC
7432465OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031231000671 MO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4688573389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westglen Family Physicians LLCGroup PAC ID 3678506102, 8 clinicians

Practice addresses (Care Compare)

15425 Manchester Rd
Ballwin, MO 63011-3077
Phone (636) 220-6969

225 Clarkson Rd
Ellisville, MO 63011-2278
Phone (636) 685-7715

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2003000621MOMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westglen Family Physicians, LLC CurrentSince Jul 15, 2008 Accepting new patients
Fenton Family Physicians, LLC CurrentSince Mar 20, 2018 Accepting new patients
St. Lukes Orthopedics Woods Mill, LLC PastSince Mar 20, 2018 Accepting new patients
Schmitz Chiropractic, LLC Past Accepting new patients
Integra Physicians Urgent Care Centers, LLC Past Accepting new patients
Patterson Family Practice Past Accepting new patients

Locations

225 Clarkson Rd
Ellisville, MO 63011
Phone (636) 230-5050

774 Gravois Bluffs Blvd
Ste B
Fenton, MO 63026
Phone (314) 523-2595

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1437211794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112278",
            "telephone_number": "636-230-5050",
            "fax_number": "636-230-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112278",
            "telephone_number": "636-685-7715",
            "fax_number": "314-590-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "BARBARA",
        "middle_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MO",
            "license": "2003000621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESSENCE",
            "identifier": "00000001482",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "036117870",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "633328",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209258102",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "182228",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "322212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8008001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESSENCE",
            "identifier": "000000014182",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2312375",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7432465",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MO

Sources for this page

Verify at the official NPI Registry.