Obl

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

OBL

Practice address

14804 N Cave Creek Rd Ste 200
Phoenix, AZ 85032-4945

Phone

(480) 240-5613

Fax

(480) 205-1063

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kiup Kim, MD

Title

Founder / Ceo

Phone

(480) 788-5621

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1508430661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 360",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122677",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14804 N CAVE CREEK RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324945",
            "telephone_number": "480-240-5613",
            "fax_number": "480-205-1063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E Earll Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850122677",
            "country_code": "US",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13640 N 99th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853510001",
            "country_code": "US",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OBL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KIUP",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "480-788-5621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92926",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna R Obezo, RBT
• Ndidiamaka Uzoma Obiesie, MD
• Obifit
• Ifeoma Obiora, PHARMD
• Frederick William Obitz, PH.D
• Agnes Elizabeth Oblas, ANP-C
• Barry Oblas, MSW
• Lindsey Ann Oboyle, MA, BCBA
• Aleksandra Obradov, M.D.
• Andrew Obrien

• Integrative Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Integrative Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.