Roberta Pauline O'Brien, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

420008375 Issued in VT

Practice address

87 Main St
Essex JCT, VT 05452-3234

Phone

(802) 847-8354

Fax

(802) 847-6575

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University of Vermont Medical Center Inc

  dba Uvm Medical Center

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  Medicare reassignment NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902976533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ACORN CIR",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054524705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MAIN ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523234",
            "telephone_number": "802-847-8354",
            "fax_number": "802-847-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ROBERTA",
        "middle_name": "PAULINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "420008375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0108",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Davies Monahan, M.D.
• R. Scott Moylan, M.S., L.AC.
• New England Medical Systems, Co.
• Nikki Sorrell Therapy, PLLC
• Jennifer Niles, DMD
• Carla Marie Osgood, EDD
• David Aldrich Osgood, ED.D
• Paquette Therapy Corporation (Essex Aquatic & Rehab Center)
• Veronica Lee Paquette, P.T.
• Paul Kenworthy DMD, PC

• Internal Medicine Physician in Essex JCT, VT
• Providers in Essex JCT, VT by specialty
• Internal Medicine Physician in Vermont

• 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.

Verify at the official NPI Registry.