Erin P. O'Brien, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

175 S Main St
Canton, IL 61520-2670

Phone

(309) 647-0201

Fax

(309) 649-5302

NPI assigned

Jan 30, 2007

Last updated

Dec 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erin P. Simpson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Graham Services Corporation

  dba Coleman Clinic

  • Family Medicine Physician
  • Canton, IL
  • NPI 1942315197
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1881730331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202670",
            "telephone_number": "309-647-0201",
            "fax_number": "309-649-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202670",
            "telephone_number": "309-647-0201",
            "fax_number": "309-649-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ERIN",
        "middle_name": "P.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SIMPSON",
            "middle_name": "P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Mustread, PHARMD
• Lacey Neal
• Alicia Nelson, M.S. CCC-SLP
• North Central Behavioral Health Systems, Inc.
• North Central Behavioral Health Systems, Inc.
• Brent D Parry, DPM
• Patterson House, Inc. (Emerald Estades)
• Petersen Health Care (Sunset Rehabilitation & Health Care Center)
• Petersen Health Care, Inc. (Courtyard Estates of Canton)
• Petersen Health Junction, LLC (Sunset Rehabilitation & Health Care)

• Physician Assistant in Canton, IL
• Providers in Canton, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.