Active NPI
Patrick O'Brien, MD
- Diagnostic Radiology Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD23956
- Practice address
- 315 Holton Ave
Ste 102
Yakima, WA 98902-3254 - Phone
- (509) 895-0402
- Fax
- (509) 248-0733
- NPI assigned
- Dec 23, 2005
- Last updated
- Oct 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD23956 | OR | Primary |
Addresses
Primary practice location
315 Holton Ave
Ste 102
Yakima, WA 98902-3254
Mailing address
PO Box 2925
Yakima, WA 98907-2925
Phone (509) 895-0402
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840126018 | Other | OR | REGENCE BS/BC |
| 268491 | Medicaid | OR | |
| 8323032 | Medicaid | WA | |
| P00203830 | Other | OR | RR MC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23956 | OR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Imaging PC | Diagnostic Radiology | Current | Accepting new patients |
| Valley Imaging | Past | Accepting new patients | |
| Advanced Medical Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
| Northwest Imaging, PC | Diagnostic Radiology | Past | Accepting new patients |
| Epic Imaging-West, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Anesthesia Associates Northwest LLC | Past | Accepting new patients | |
| Radiology Specialists of the Northwest, PC | Diagnostic Radiology | Past | Accepting new patients |
| Portland Medical Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338
1500 NW Bethany Blvd
Ste 100
Beaverton, OR 97006
Phone (503) 619-1100
8950 SW Nimbus Ave
Beaverton, OR 97008
Phone (503) 253-1105
10121 SE Sunnyside Rd
Ste 170
Clackamas, OR 97015
Phone (877) 540-1614
233 NE 102nd Ave
Portland, OR 97220
Phone (503) 253-1105
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southwest Imaging Centers
- Diagnostic Radiology Physician
- Vancouver, WA
- NPI 1114008737
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Diagnostic Radiology Physician
- Beaverton, OR
- NPI 1407921208
-
- Diagnostic Radiology Physician
- Kalispell, MT
- NPI 1386713832
-
- Body Imaging Physician
- Portland, OR
- NPI 1932162906
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1699759498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1992782692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2925",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989072925",
"telephone_number": "509-895-0402",
"fax_number": "509-248-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 HOLTON AVE",
"address_2": "STE 102",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023254",
"telephone_number": "509-895-0402",
"fax_number": "509-248-0733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD23956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS/BC",
"identifier": "840126018",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268491",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8323032",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MC",
"identifier": "P00203830",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.