John P. Obermiller, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

G5442 Issued in TX

Practice address

4201 Bee Cave Road
Suite C-106
Austin, TX 78746-6493

Phone

(512) 279-2386

Fax

(512) 279-2387

NPI assigned

Jun 1, 2005

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Texas Orthopedics Sports & Rehabilitation Associates PA

  • Orthopaedic Surgery Physician
  • Austin, TX
  • NPI 1346244688
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1831191972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162622",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787162622",
            "telephone_number": "512-279-2386",
            "fax_number": "512-279-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVE ROAD",
            "address_2": "SUITE C-106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466493",
            "telephone_number": "512-279-2386",
            "fax_number": "512-279-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMILLER",
        "first_name": "JOHN",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "G5442",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "G5442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "1247306-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OB082C502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1247306-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyrone Obaseki, LPC
• Olubusayo Obayan, M.D., MPH
• Jenifer Oberg, MS SLP-CF
• Andrea Oberhauser Mendez
• Scott Wayne Oberhoff, M.D.
• OBGYN North
• Obhg Texas Holdings, P.a.
• Amauche Obi-Eyisi
• Nicole Obih, LCSW
• Christian N Obioma

• Physical Medicine & Rehabilitation Physician in Austin, TX
• Providers in Austin, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.