Christopher William O'Brien, PHD, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT001243A Issued in PA

Practice address

King'S College
133 North River Street
Wilkes-Barre, PA 18711

Phone

(570) 208-8404

NPI assigned

Oct 20, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• King'S College

  • Student Health Clinic/Center
  • Wilkes Barre, PA
  • NPI 1164749966
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1457433294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 MARY JO DR",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341965",
            "telephone_number": "570-430-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KING'S COLLEGE",
            "address_2": "133 NORTH RIVER STREET",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "18711",
            "telephone_number": "570-208-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "WILLIAM",
        "credential": "PHD, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001603-1",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT001243A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF THE PROFESSIONS, THE UNIVERSITY OF THE STATE OF NY EDUCATION DEPT.",
            "identifier": "001603-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS, PA DEPT. OF STATE",
            "identifier": "RT001243A",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miroslawa Nowak, M.D.
• Renee Noyola, M.D.
• Nuclear Imaging Associates of Hazelton, PC
• Chijindu Rowland Nworgu, M.D
• Frederick Kweku Nyamekeh
• Diane O'Brien, NP
• Kelly Anne O'Brien, PA-C
• Thomas More O'Brien, MD
• Daniel J O'Connell, MD
• Patricia A. O'Connell, CRNA

• Athletic Trainer in Wilkes-Barre, PA
• Providers in Wilkes-Barre, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.