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DR. MARY ANN O'BRIEN MD NPI 1013902162


NPI Information

NPI: 1013902162
Provider Name: DR. MARY ANN O'BRIEN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
3909 NEW VISION DR
FORT WAYNE, IN
ZIP 46845
Phone: (260) 496-6602
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DR. Mary Ann O'brien, MD is a family medicine in Fort Wayne, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mary Ann O'brien, MD NPI is 1013902162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3909 NEW VISION DR
FORT WAYNE, IN
ZIP 46845-725
Phone: (260) 496-6602
Fax: (260) 969-3065

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 9/14/2005 and was last updated on 9/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine01037346AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1930024761MEDICARE ID-TYPE UNSPECIFIEDRR MEDICARE
22517226MEDICAIDOHIO
3104874481MEDICAIDMICHIGAN
4200033370MEDICAIDINDIANA
5E30140MEDICARE UPININDIANA
6000000005500OTHERMPLAN
7000000082547OTHERINDIANAANTHEM
8047840VMEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.