Active NPI
Maureen L O'Brien, PA
- Surgical Physician Assistant
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- C02505
- Practice address
- 2000 Medical Parkway
Suite 200
Annapolis, MD 21401-3744 - Phone
- (443) 481-5300
- Fax
- (443) 481-6705
- NPI assigned
- Sep 13, 2005
- Last updated
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0002505 | MD | |
| Surgical Physician Assistant | 363AS0400X | C02505 | MD | Primary |
Addresses
Primary practice location
2000 Medical Parkway
Suite 200
Annapolis, MD 21401-3744
Mailing address
PO Box 64294
Baltimore, MD 21264-4294
Phone (443) 481-6573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002505 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients |
Locations
2000 Medical Pkwy
Ste 200
Annapolis, MD 21401
Phone (443) 481-3493
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
Interoperability endpoints
- mobrien29408@direct.aahs.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Luminis Health Maternal and Fetal Medicine
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
dba Annapolis Surgical Oncology Associates
- Surgery Physician
- Annapolis, MD
- NPI 1649248485
DC
-
- Psychiatry Physician
- Lanham, MD
- NPI 1104051440
-
dba LH Primary Care North Hanson
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
dba OB/GYN Hospitalists
- Obstetrics & Gynecology Physician
- Annapolis, MD
- NPI 1841519741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1740275148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64294",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644294",
"telephone_number": "443-481-6573",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL PARKWAY",
"address_2": "SUITE 200",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013744",
"telephone_number": "443-481-5300",
"fax_number": "443-481-6705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "MAUREEN",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0002505",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C02505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
- Lawrence A Nurin, DDS
- Chinweoke Ogomegbunam Nwachukwu, M.D.
- O'Brien Family Chiropractic Center (O'Brien Chiropractic)
- Jennifer Diane O'Brien, RN, BSN
- Kathryn Mary O'Brien, PSY.D.
- Michaela O'Brien
- Kathryn Anne O'Connell (Jordan), M.D.
- Chelsea Ray O'Connell, NURSE PRACTITIONER
- Christine Frances O'Connor, MA CCC SLP
- Edward G O'Connor Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.