Timothy J O'Brien, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00021680 Issued in WA

Practice address

700 E Manitoba Ave
Suite 109
Ellensburg, WA 98926-3885

Phone

(509) 925-6947

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

80.91 of 100Reported as group

Quality

66.6

Promoting interoperability

100

Improvement activities

40

Cost

69.77

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: to'brien@kittitasvalleyhealthcare.cernerdirect.com

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.

• Kittitas County Public Hospital Dist 1

  dba Kittitas Valley Community Hospital

  • Critical Access Hospital
  • Ellensburg, WA
  • NPI 1356375307
  NPD
• Kittitas County Public Hospital Dist 1

  dba KVH Internal Medicine

  • Rural Health Clinic/Center
  • Ellensburg, WA
  • NPI 1932115391

  Specialist

  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1770506453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 PARKE CREEK RD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989267664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MANITOBA AVE",
            "address_2": "SUITE 109",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263885",
            "telephone_number": "509-925-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00021680",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00021680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7010614",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Oral Health Outreach LLC (Northwest Oral Health Outreach)
• Mary C. Nouwens, ARNP
• Kelly Maureen Noyes, D.O.
• Kodi Null
• Andrew Masato Numa, BSCPHARM
• Amy O'Donnell
• Jennifer Krista Obeid-Campbell, MS LMHC
• Kyle Steven Odonnell, DC
• Dana Michel Ogan
• Erin Olander, ARNP

• Specialist in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.