Individual provider Active NPI

Christian C Obah, MD

  • Anesthesiology Physician
  • Kaysville, UT
National Provider Identifier
1912959008
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
5867369-1205 Issued in UT
Practice address
275 W 200 N Ste 7
Kaysville, UT 84037-1873
Phone
(801) 546-1300
Fax
(801) 546-1301
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5867369-1205 UT Primary

Addresses

Primary practice location

275 W 200 N Ste 7
Kaysville, UT 84037-1873

Mailing address

275 W 200 N Ste 7
Kaysville, UT 84037-1873
Phone (801) 546-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20070103000193 UT Practitioner - AnesthesiologyPractitioner - Pain Management 2466452172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Spring Pain Management LLCGroup PAC ID 2567697931, 4 clinicians

Practice addresses (Care Compare)

275 W 200
Suite 7
Kaysville, UT 84037-1873
Phone (801) 546-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
C and B Family Practice LLC PastSince Sep 16, 2013 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1912959008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W 200 N STE 7",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371873",
            "telephone_number": "801-546-1300",
            "fax_number": "801-546-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W 200 N STE 7",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371873",
            "telephone_number": "801-546-1300",
            "fax_number": "801-546-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAH",
        "first_name": "CHRISTIAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "5867369-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

Verify at the official NPI Registry.