Pedro Jara Obregon II, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35033141 Issued in OH

Practice address

793 Prairie Run Dr
Sunbury, OH 43074-8541

Phone

(740) 965-8886

Fax

(740) 965-8886

NPI assigned

Mar 29, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1548536089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 PRAIRIE RUN DR",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748541",
            "telephone_number": "740-965-8886",
            "fax_number": "740-965-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 PRAIRIE RUN DR",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748541",
            "telephone_number": "740-965-8886",
            "fax_number": "740-965-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBREGON",
        "first_name": "PEDRO",
        "middle_name": "JARA",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35033141",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35033141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Newberry
• Lauren Jaye Nichols, FNP-C
• Leslie Ann Nowell, D.O.
• Kyle Anthony O'Connor, DDS
• Rachel E O'Rourke, CNP
• Natasha Ochoa
• Oh Independent Medical Group LLC
• Ohio CVS Stores LLC
• Ohio Premier Dermatology, LLC
• Alaney Oney, PA-C

• Surgery Physician in Sunbury, OH
• Providers in Sunbury, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.