Organization Active NPI

Paul E Obrien MD Inc

  • Surgery Physician
  • Dayton, OH
National Provider Identifier
1487847844
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Paul Edward Obrien, MDNPI 1912964933
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0408366MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.