Active NPI
Paul E Obrien MD Inc
- Surgery Physician
- Dayton, OH
National Provider Identifier
1487847844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PAUL E OBRIEN MD INC
- Practice address
- 2717 Miamisburg Centerville Rd
Suite 200
Dayton, OH 45459-3797 - Phone
- (937) 434-3180
- Fax
- (937) 434-9807
- NPI assigned
- Aug 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Edward Obrien, MD
- Title
- President
- Phone
- (937) 434-3180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OH | Primary |
Addresses
Primary practice location
2717 Miamisburg Centerville Rd
Suite 200
Dayton, OH 45459-3797
Mailing address
2717 Miamisburg Centerville Rd
Suite 200
Dayton, OH 45459-3797
Phone (937) 434-3180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0408366 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
2717 Miamisburg Centerville Rd
Ste 200
Dayton, OH 45459
Phone (937) 434-3180
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Miamisburg, OH
- NPI 1912964933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1487847844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 MIAMISBURG CENTERVILLE RD",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454593797",
"telephone_number": "937-434-3180",
"fax_number": "937-434-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 MIAMISBURG CENTERVILLE RD",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454593797",
"telephone_number": "937-434-3180",
"fax_number": "937-434-9807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL E OBRIEN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "OBRIEN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-434-3180",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0408366",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.