O'Brian Healthcare Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MG00713 Issued in AR

Legal business name

O'BRIAN HEALTHCARE INC

Practice address

1100 N University Ave Ste 66
Little Rock, AR 72207-6300

Phone

(501) 570-0461

Fax

(501) 570-0592

NPI assigned

May 6, 2006

Last updated

Feb 3, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

O'BRIAN HEALTHCARE INCAs reported in NPPES

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

Authorized official

Name

Douglas O Green

Title

Owner

Phone

(501) 321-9461

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• O'Brian Healthcare, Inc

  • Oxygen Equipment & Supplies (DME)
  • Hot Springs, AR
  • NPI 1053305078

  3577684935

  Same PAC ID

Tax ID family

O'Brian Healthcare Inc3 organizations share this tax ID, including this one

Part of

O'Brian Healthcare Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• O'Brian Healthcare Inc

  dba O'Brian Healthcare Inc- Hyperlimitation

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Hot Springs, AR
  • NPI 1720641707
  NPD tax ID
• O'Brian Healthcare, Inc

  • Oxygen Equipment & Supplies (DME)
  • Hot Springs, AR
  • NPI 1053305078
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• O'Brian Healthcare, Inc

  • Oxygen Equipment & Supplies (DME)
  • Hot Springs, AR
  • NPI 1053305078
  NPPES parent name

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1720037963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PIPER ST STE G",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018263",
            "telephone_number": "501-321-9461",
            "fax_number": "501-321-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 66",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076300",
            "telephone_number": "501-570-0461",
            "fax_number": "501-570-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'BRIAN HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "O'BRIAN HEALTHCARE INC",
        "enumeration_date": "2006-05-06",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-321-9461"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "MG00713",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "003600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161457716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Obioma B Nwaiwu, M.D
• Nelson I Nwumeh, MD
• Nxgen Stars- Ar
• Brian Ratemo Nyangoso
• O. H. Miller, D.D.S.
• Kimberly Paige O'Brien
• Madison O'Brien, MD
• Marcus D O'Brien, M.D.
• Jacob Beattie O'Connor, MD, MS
• Kate Wohlleben O'Connor, PHARMD

• Durable Medical Equipment & Medical Supplies in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.