Peter Richard Obligato, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M6042 Issued in ID

Practice address

700 W Ironwood Dr Ste 170E
Coeur D Alene, ID 83814-2666

Phone

(208) 292-0990

Fax

(208) 292-2950

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kootenai Health, Inc.

  • Psychiatry Physician
  • Coeur D Alene, ID
  • NPI 1174661151
  NPD (past)
• Kootenai Health, Inc.

  • Emergency Medicine Physician
  • Coeur D Alene, ID
  • NPI 1235288655
  NPD (past)
• Kootenai Urgent Care LLC

  • Family Medicine Physician
  • Coeur D Alene, ID
  • NPI 1821312356
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1952363780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 E LOOKOUT DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157916",
            "telephone_number": "208-772-5860",
            "fax_number": "208-762-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 170E",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142666",
            "telephone_number": "208-292-0990",
            "fax_number": "208-292-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBLIGATO",
        "first_name": "PETER",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G27958",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M6042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G27958",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00G279580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G279580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010039635",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G279580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Racquel O'Meara
• O'Neill Clinic, P.a.
• Thomas Daniel O'Neill, DC
• Kate Christine Oakes
• Jennifer Lynn Oberst, LMSW
• Scott Harper Oden, L.M.F.T.
• Odyssey Healthcare Operating B, LP
• Alicia Eve Ogram, M.D.
• Beverly Oh, LPC
• Patricia Ines Ojeda, MD

• Emergency Medicine Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Emergency Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.