Jerry V O'Brien, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

5101009941 Issued in MI

Practice address

5900 Byron Center Ave SW
Metro Health Hospital
Wyoming, MI 49519-9606

Phone

(616) 808-3944

Fax

(616) 808-3948

NPI assigned

Apr 11, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: jobrien36137@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metropolitan Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Grand Rapids, MI
  • NPI 1215906219
  NPD (past)
• Metropolitan Anesthesia Associates, PC

  • Certified Registered Nurse Anesthetist
  • Grand Rapids, MI
  • NPI 1750500526
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1609839356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ANN ST NW",
            "address_2": "SUITE 209",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042052",
            "telephone_number": "616-808-3944",
            "fax_number": "616-808-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW",
            "address_2": "METRO HEALTH HOSPITAL",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606",
            "telephone_number": "616-808-3944",
            "fax_number": "616-808-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JERRY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101009941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3318319",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN NUMBER",
            "identifier": "5704503",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP BILL PIN",
            "identifier": "CE1952",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LICENSE NUMBER",
            "identifier": "JO009941",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Novo Chiropractic PLLC
• Michaela Nyquist, PHARMD
• Angela Ann O'Brien
• Brenna O'Brien
• Eric D O'Brien, D.C.
• James O'Grady, DPT
• Margaret Maureen O'Hara, NP
• Emiley Nichole O'Pry, DO
• Obedi Family Afc LLC
• Nicole L Oberholtzer, PT, DPT

• Anesthesiology Physician in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.