Peter C Ober, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110840486 Issued in VA

Practice address

1001 Sam Perry Blvd
Fredericksburg, VA 22401

Phone

(540) 741-1167

NPI assigned

Jun 3, 2006

Last updated

Nov 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1841238516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22404",
            "telephone_number": "800-888-1752",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-741-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBER",
        "first_name": "PETER",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110840486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00137325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Oates, LMT
• Olugbenga O Obasanjo, MBBS MPH PHD FACPM
• Edith Obeng, CNA
• Masamon Ober
• Patrick Edward Ober, PA-C
• Sean Christopher Ober, PA-C
• Katherine Oberdove, PA-C
• Obstetrics & Gynecology Associates of Fredericksburg, P.C.
• Rebecka Ockay, CPM, LM, LMT
• Osama Odeh, BDS

• Medical Physician Assistant in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.