Jenisa Oberbeck, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS 11571 Issued in FL

Practice address

6675 38TH Ave N
Suite 101
Saint Petersburg, FL 33710-1594

Phone

(727) 384-1217

Fax

(727) 384-3240

NPI assigned

Jul 22, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1659684322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SUITE 400",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101645",
            "telephone_number": "727-545-4444",
            "fax_number": "727-545-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 38TH AVE N",
            "address_2": "SUITE 101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101594",
            "telephone_number": "727-384-1217",
            "fax_number": "727-384-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERBECK",
        "first_name": "JENISA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 11571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009907800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oasis Peak Homecare
• Oasis Wellness for Women PA
• Kenneth A Oaster, PHARMD
• OB Hospitalist Group LLC
• OB/GYN Associates
• Drew Thomas Obermeier, PA-C
• Chiamaka C Obinka, NP
• John J Obrien Jr., MD
• Rhonda Manning Obrien, ADVANCED REG NURSE P
• Stephen P Obrochta, D.D.S.

• Family Medicine Physician in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.