Organization Active NPI

Remon Obeid MD, LLC

  • Internal Medicine Physician
  • Sidney, OH
National Provider Identifier
1770825663
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.078349 Issued in OH
Legal business name
REMON OBEID MD, LLC
Practice address
915 Michigan St
Yager Building Suite 302
Sidney, OH 45365-2401
Phone
(937) 773-8775
Fax
(937) 773-8755
NPI assigned
Mar 19, 2013
Organization subpart
Yes
Parent organization
REMON OBEID MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Remon Obeid, MDNPI 1215923222
Title
Owner
Phone
(937) 773-8775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35.078349 OH Primary

Addresses

Primary practice location

915 Michigan St
Yager Building Suite 302
Sidney, OH 45365-2401

Mailing address

915 Michigan St
Yager Building Suite 302
Sidney, OH 45365-2401
Phone (937) 773-8775

Other identifiers 1

IdentifierTypeStateIssuer
2204304MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130620000420 OH Part B Supplier - Clinic/Group Practice 1557500600 Receives reassigned benefits from 1 practitioner
Practice locations: Piqua, OH; Sidney, OH

National Provider Directory

National Provider Directory

Locations

312 N Wayne St
#A
Piqua, OH 45356
Phone (937) 773-8775

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJGDBA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1770825663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "address_2": "YAGER BUILDING SUITE 302",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-773-8775",
            "fax_number": "937-773-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "address_2": "YAGER BUILDING SUITE 302",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-773-8775",
            "fax_number": "937-773-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMON OBEID MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REMON OBEID MD",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "OBEID",
        "authorized_official_first_name": "REMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-773-8775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.078349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2204304",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.