Active NPI
Art O Obaseki, MSN, FNP
- Nurse Practitioner
- Washington, IN
National Provider Identifier
1871661546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Practice address
- 1110 E Main St
Washington, IN 47501-3031 - Phone
- (812) 254-2311
- Fax
- (812) 254-2322
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080521000626 | IN | Practitioner - Nurse Practitioner | 2062581788 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 710009038B | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael S. Miller DO, Facos, CWS, PC | Current | Accepting new patients |
Locations
3850 Shore Dr
Ste 315
Indianapolis, IN 46254
Phone (317) 429-0061
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1110 E Main St
Washington, IN 47501-3031
Mailing address
1110 E Main St
Washington, IN 47501-3031
Phone (812) 254-2311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871661546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 E MAIN ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475013031",
"telephone_number": "812-254-2311",
"fax_number": "812-254-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 E MAIN ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475013031",
"telephone_number": "812-254-2311",
"fax_number": "812-254-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBASEKI",
"first_name": "ART",
"middle_name": "O",
"name_prefix": "Mr.",
"credential": "MSN, FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.