NPIMap

Individual provider Active NPI

Andrew Oberlin, PA-C

  • Physician Assistant
  • Iron River, MI
National Provider Identifier
1821309477
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007017 Issued in MI
Practice address
1300 W Ice Lake Rd
Iron River, MI 49935-8507
Phone
(906) 265-9189
NPI assigned
Jun 29, 2010
Last updated
Oct 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007017 MI Primary
Medical Physician Assistant 363AM0700X 1426 TEMP MN
Medical Physician Assistant 363AM0700X 10755 MN

Addresses

Primary practice location

1300 W Ice Lake Rd
Iron River, MI 49935-8507

Mailing address

1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone (906) 265-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140630002145 MI Practitioner - Physician Assistant 2961528294 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

1400 W Ice Lake Rd
Aspirus Iron River Hospital
Iron River, MI 49935-9526
Phone (906) 265-6121

3257 E US Hwy 2
Northstar Health System Home Care and Hospi
Iron River, MI 49935-8575
Phone (906) 265-6118

440 Woodward Ave
Iron Mountain, MI 49801-4631
Phone (906) 776-9040

814 S Ice Lake Rd
Aspirus Iron River Clinic
Iron River, MI 49935-9481
Phone (906) 265-0499

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grand View Lane
Ironwood, MI 49938-9622

N10565 Grandview Lane
Ironwood, MI 49938-9622

N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007017MIMDPhysician Assistant
10755MNMDMedical Physician Assistant
1426 TEMPMNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw CurrentSince Jun 19, 2024 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Mar 9, 2022 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Mar 9, 2022 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince May 13, 2022 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince May 13, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

1300 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-8189

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

Interoperability endpoints

  • Direct secure messaging: aoberlin105873@direct.aspirus.org
  • Direct secure messaging: aoberlin160787@direct.thedacare.org
  • Direct secure messaging: aoberlin924876@direct.emplifyhealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1821309477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W ICE LAKE RD",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499359526",
            "telephone_number": "906-265-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W ICE LAKE RD",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499358507",
            "telephone_number": "906-265-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERLIN",
        "first_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007017",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "1426 TEMP",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "10755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron River, MI

Sources for this page

Verify at the official NPI Registry.