Marcy G. O'Brien, M.A. CCC-A, F-AAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY265 Issued in FL

Practice address

515 E Garden St
Lakeland, FL 33805-4615

Phone

(863) 683-5454

Fax

(863) 683-4652

NPI assigned

Nov 10, 2007

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

Enrolled in FL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Saginaw Valley Medical College - NLG, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• ENT and Allergy Associates of Florida, LLC

  • Otolaryngology Physician
  • Boca Raton, FL
  • NPI 1164473120
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1194652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194652800000",
    "number": "1659551315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E GARDEN ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054615",
            "telephone_number": "863-683-5454",
            "fax_number": "863-683-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E GARDEN ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054615",
            "telephone_number": "863-683-5454",
            "fax_number": "863-683-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MARCY",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "M.A.  CCC-A,  F-AAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-10",
        "last_updated": "2007-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Nye, AUD
• Ugochukwu C Nzeako, MD MPH
• O. Nelson Decamp, Jr.,D.C., P.a.
• Sean Patrick O' Rourke, MD
• Bradley O'Brien, RBT
• Taylor O'Byrne, PA-C
• Jennifer O'Connor Hijuelos
• Lauren Marie O'Connor, RN
• Brenda M O'Hair, PA-C
• Dan O'Kero

• Audiologist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.