Obici Medical Management Services, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101018926 Issued in VA

Legal business name

OBICI MEDICAL MANAGEMENT SERVICES, INC

Doing business as

Suffolk Family Medical Center

Practice address

1548 Holland Rd # B
Suffolk, VA 23434-6528

Phone

(757) 925-0706

Fax

(757) 539-4750

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

William A Carpenter

Title

SRVP-Cfo

Phone

(757) 934-4000

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Suffolk Family Medical Center Doing business as

Tax ID family

Obici Medical Management Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smithfield Medical Center

  • Family Medicine Physician
  • Smithfield, VA
  • NPI 1184673725
  NPD tax ID

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962429498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 HOLLAND RD # B",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346528",
            "telephone_number": "757-925-0706",
            "fax_number": "757-539-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 HOLLAND RD # B",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346528",
            "telephone_number": "757-925-0706",
            "fax_number": "757-539-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBICI MEDICAL MANAGEMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SRVP-CFO",
        "authorized_official_telephone_number": "757-934-4000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101018926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "323793",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "263206",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OPTIMA",
            "identifier": "41033",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5632081",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suffolk Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebekah O'Brien
• Sophia O'Keefe
• Shirley Frias O'Neal, RN, FNP-C
• Emily Goering O'Rourke, M.D.
• Oakdale Maintenance Solutions. LLC
• Occussage Therapies, LLC
• Ocean Wounds VA PLLC
• Anastasia Ochsenreither, PA-C
• Charles Lloyd Odea, D.C.
• Andrew Joseph Odwyer, M.D.

• Family Medicine Physician in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.