Peter Ebot Oben, RVT, RDCS,RDMA

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

70271 Issued in AZ

Practice address

6040 E Main St Ste 123
Mesa, AZ 85205-8928

Phone

(678) 857-0705

NPI assigned

Jul 23, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Trinity Cardiovascular Imaging LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Mesa, AZ
  • NPI 1922524719

  Diagnostic Ultrasound

  NPD Authorized official

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972026896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 E MAIN ST STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058928",
            "telephone_number": "678-857-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 E MAIN ST STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058928",
            "telephone_number": "678-857-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEN",
        "first_name": "PETER",
        "middle_name": "EBOT",
        "credential": "RVT, RDCS,RDMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "AZ",
            "license": "70271",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "AZ",
            "license": "70271",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "AZ",
            "license": "70271",
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "AZ",
            "license": "70271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oasis Telepsychiatry, L.L.C.
• Janet Oates, RN
• Valerie M Oatis, LMSW
• Gloria Nyakerario Obaigwa
• Maki Obana, PHD
• Saige Obray
• Christopher Obrien
• Obstetrix Medical Group of Phoenix PC
• Julie Ocampo, LCSW
• Occupational Health Centers of the Southwest PA

• All providers in Mesa, AZ
• Sonography Specialist/Technologist Cardiovascular in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.