Donald Joseph O'Brien, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA051624 Issued in PA

Practice address

515 Isabelle CT Apt B
Edwardsville, PA 18704-5902

Phone

(570) 905-5254

NPI assigned

Sep 1, 2007

Last updated

Sep 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188604800000",
    "number": "1588858583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ISABELLE CT APT B",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187045902",
            "telephone_number": "570-905-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ISABELLE CT APT B",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187045902",
            "telephone_number": "570-905-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "DONALD",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-01",
        "last_updated": "2007-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lybh Corp
• Lybh Corp
• Medexpress Urgent Care, PC-Pennsylvania (MedExpress Urgent Care - Edwardsville)
• Mariah Menichelli, OTR/L
• Mgo Counseling Services LLC
• Jamie Rose Parry, M.A.
• David James Piccolo, MD
• Restorative Roots Wilkes-Barre, LLC
• Jennifer Ann Richards, PHARMD
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 02426)

• Medical Physician Assistant in Edwardsville, PA
• Providers in Edwardsville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2007; 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.