Active NPI
Peter H Obesso, MD
- Family Medicine Physician
- New Port Richey, FL
National Provider Identifier
1770587347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME31870
- Practice address
- 6636 Forest Ave
New Port Richey, FL 34653-2603 - Phone
- (352) 518-2000
- Fax
- (352) 567-1974
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME31870 | FL | |
| Family Medicine Physician | 207Q00000X | ME31870 | FL | Primary |
| General Practice Physician | 208D00000X | ME31870 | FL |
Addresses
Primary practice location
6636 Forest Ave
New Port Richey, FL 34653-2603
Mailing address
PO Box 232
Dade City, FL 33526-0232
Phone (352) 518-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069318900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Community Healthcare Group, Inc. | General Practice | Past | Accepting new patients |
| Baxley Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- New Port Richey, FL
- NPI 1538118484
-
- Federally Qualified Health Center (FQHC)
- Zephyrhills, FL
- NPI 1508445362
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1770587347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335260232",
"telephone_number": "352-518-2000",
"fax_number": "352-567-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6636 FOREST AVE",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346532603",
"telephone_number": "352-518-2000",
"fax_number": "352-567-1974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBESSO",
"first_name": "PETER",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME31870",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME31870",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME31870",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069318900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.