Individual provider Active NPI

Jeffrey G Obron, MD

  • Obstetrics & Gynecology Physician
  • West Bloomfield, MI
National Provider Identifier
1972533032
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
JO043992 Issued in MI
Practice address
6079 W Maple Rd
Suite 110
West Bloomfield, MI 48322-2283
Phone
(248) 535-3221
Fax
(248) 325-9613
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X JO043992 MI Primary

Addresses

Primary practice location

6079 W Maple Rd
Suite 110
West Bloomfield, MI 48322-2283

Mailing address

6079 W Maple Rd
Suite 110
West Bloomfield, MI 48322-2283
Phone (248) 535-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101102001444 MI Practitioner - Obstetrics/Gynecology 2466486980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians

Practice addresses (Care Compare)

5839 W Maple Rd
Suite 100
West Bloomfield, MI 48322-2278
Phone (248) 862-7221

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JO043992MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NMS OBGYN PLLC CurrentSince Jan 9, 2017 Accepting new patients
Uwh of Michigan PLC Obstetrics & Gynecology CurrentSince Apr 24, 2024 Accepting new patients
Metro Partners in Womens Health, PC Obstetrics & Gynecology Past Accepting new patients

Locations

46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200

5839 W Maple Rd
Ste 100
West Bloomfield, MI 48322
Phone (248) 629-0546

6079 W Maple Rd
Ste 110
West Bloomfield, MI 48322
Phone (248) 325-9615

5793 W Maple Rd
Ste 147
West Bloomfield, MI 48322
Phone (248) 626-0001

Interoperability endpoints

  • Direct secure messaging: jobron58891@direct.hfhs.org
  • Direct secure messaging: jeffrey.obron.1@26060.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1972533032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6079 W MAPLE RD",
            "address_2": "SUITE 110",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222283",
            "telephone_number": "248-535-3221",
            "fax_number": "248-325-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 W MAPLE RD",
            "address_2": "SUITE 110",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222283",
            "telephone_number": "248-535-3221",
            "fax_number": "248-325-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRON",
        "first_name": "JEFFREY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "JO043992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.