Individual provider Active NPI

Art O Obaseki, MSN, FNP

  • Nurse Practitioner
  • Washington, IN
National Provider Identifier
1871661546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
710009038BINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Miller DO, Facos, CWS, PC CurrentSince Jul 1, 2017 Accepting new patients

Locations

3850 Shore Dr
Ste 315
Indianapolis, IN 46254
Phone (317) 429-0061

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X IN Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.