Active NPI
Ziad Obermeyer, MD, MPHIL
- Emergency Medicine Physician
- Fort Defiance, AZ
National Provider Identifier
1467626960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 249033
- Practice address
- Fort Defiance Indian Hospital Board, Inc
Corner of Route N12 and N7
Fort Defiance, AZ 86504 - Phone
- (928) 729-8132
- NPI assigned
- Apr 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 249033 | MA | Primary |
Addresses
Primary practice location
Fort Defiance Indian Hospital Board, Inc
Corner of Route N12 and N7
Fort Defiance, AZ 86504
Mailing address
675 Alvarado Rd
Berkeley, CA 94705-1557
Other practice location 1
75 Francis St
NH-304L
Boston, MA 02115-6110
Phone (617) 732-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1467626960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 ALVARADO RD",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC",
"address_2": "CORNER OF ROUTE N12 AND N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "928-729-8132"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St",
"address_2": "NH-304L",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156110",
"country_code": "US",
"telephone_number": "617-732-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBERMEYER",
"first_name": "ZIAD",
"name_prefix": "Dr.",
"credential": "MD, MPHIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-15",
"last_updated": "2022-04-18",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "249033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.