Mary Edith Obear, MD PHD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

205518 Issued in NY

Practice address

860 Main Rd
Corfu, NY 14036-9753

Phone

(585) 599-6446

Fax

(585) 599-3166

NPI assigned

Apr 24, 2006

Sex

Female

Sole proprietor

No

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.

• Oak Orchard Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Brockport, NY
  • NPI 1598707812

  NY

  Medicare reassignment NPD
• Oak Orchard Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Albion, NY
  • NPI 1407453244
  NPD
• Oak Orchard Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hornell, NY
  • NPI 1548647779
  NPD
• Genesee Center Operating

  • Skilled Nursing Facility
  • Batavia, NY
  • NPI 1326581000
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2013.

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1629034285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 MAIN RD",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369753",
            "telephone_number": "585-599-6446",
            "fax_number": "585-599-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MAIN RD",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369753",
            "telephone_number": "585-599-6446",
            "fax_number": "585-599-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEAR",
        "first_name": "MARY",
        "middle_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "MD  PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "205518",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "205518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01909273",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie A. McCulloch, LMHC, ACS, NCC
• Joy Mary Mercer, LMHC
• Valerie-Lynn Anawald Mutka, LCSW-R
• Loretta Newton, RN BSN
• Oak Orchard Community Health Center, Inc.
• Kathleen Margaret Oshea, O.D.
• William Francis Oshea, O.D.
• Pembroke Central School
• Pembroke Central Schools
• Pembroke CSD

• All providers in Corfu, NY
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.