John Basinger O'Brien, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10003178 Issued in WA

Practice address

6981 Littlerock Rd SW
Suite 101
Tumwater, WA 98512-7226

Phone

(360) 943-3633

Fax

(960) 528-4643

NPI assigned

Jul 8, 2008

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Wellness Navigators, PLLC

  • Health Service Clinic/Center
  • Olympia, WA
  • NPI 1962876540
  NPD (past) Authorized official
• Harkness Medical Group, PLLC

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1215518113
  NPD (past)
• Thurston Emergency Group a Professional LLC

  • Emergency Medicine Physician
  • Olympia, WA
  • NPI 1558526756
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1639332844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 CENTRAL ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064408",
            "telephone_number": "360-773-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 LITTLEROCK RD SW",
            "address_2": "SUITE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127226",
            "telephone_number": "360-943-3633",
            "fax_number": "960-528-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JOHN",
        "middle_name": "BASINGER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kathryn Norell, RN, BSN
• Northwest Center for Sports Medicine & Physical Therapy Inc
• Anferny Victoria Novelo
• Leslie Blake Novoa, PT, DPT
• Lindsay Rae Nuxoll, CNA
• Michael E O'Brien, MSPT
• Anthony O'Leary, LMHC
• Morgan Oconnor
• Octave Behavioral, PA
• Victoria Oh

• Physician Assistant in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.