Kammille Oborne, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

907 Issued in MA

Practice address

3640 Main St
Suite 103
Springfield, MA 01107-1145

Phone

(413) 785-5321

Fax

(413) 731-7130

NPI assigned

Jan 20, 2006

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1598745978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-785-5321",
            "fax_number": "413-731-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-785-5321",
            "fax_number": "413-731-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBORNE",
        "first_name": "KAMMILLE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B O'Sullivan, MD
• Oasis Adult Day Health Center LLC
• Danielle Danette Oates
• Katherine Elizabeth Oberwager, CNP
• Obianuju Adamma Obioha, MD
• Thomas Oborne, PA-C
• Joseph Obrien
• Samantha Mira Obrien
• Samuel Robert Obringer, DO
• Abdikadir Obsiye

• Medical Physician Assistant in Springfield, MA
• Providers in Springfield, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.