Organization Active NPI

Mary T. O'Brien, MD, PLC

  • Family Medicine Physician
  • Staunton, VA
National Provider Identifier
1669501466
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101017504 Issued in VA
Legal business name
MARY T. O'BRIEN, MD, PLC
Practice address
422 Commerce Rd
Staunton, VA 24401-4432
Phone
(540) 886-6086
Fax
(540) 886-6918
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mary T. O'Brien, M.D.
Title
Owner
Phone
(540) 886-6086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101017504 VA Primary

Addresses

Primary practice location

422 Commerce Rd
Staunton, VA 24401-4432

Mailing address

422 Commerce Rd
Staunton, VA 24401-4432
Phone (540) 886-6086

National Provider Directory

National Provider Directory

Locations

422 Commerce Rd
Staunton, VA 24401
Phone (540) 886-1791

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1669501466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 COMMERCE RD",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014432",
            "telephone_number": "540-886-6086",
            "fax_number": "540-886-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 COMMERCE RD",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014432",
            "telephone_number": "540-886-6086",
            "fax_number": "540-886-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY T. O'BRIEN, MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-886-6086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101017504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.