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DR. EDWARD THOMAS O'BRIEN M.D. NPI 1205808276


NPI Information

NPI: 1205808276
Provider Name: DR. EDWARD THOMAS O'BRIEN, M.D.
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
1575 N OLD TRL
SELINSGROVE, PA
ZIP 17870
Phone: (570) 374-8555
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DR. Edward Thomas O'brien, M.D. is a medical oncology internal medicine in Selinsgrove, PA with 45 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. DR. Edward Thomas O'brien, M.D. NPI is 1205808276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1979

The provider's business location address is:

1575 N OLD TRL
SELINSGROVE, PA
ZIP 17870-381
Phone: (570) 374-8555
Fax: (570) 374-9933

The NPI 1205808276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 12/20/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RX0202XInternal MedicineMedical Oncology235282-1NEW YORKNo
2207RX0202XInternal MedicineMedical OncologyMD024174EPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GU039841OTHERPENNSYLVANIAPA MEDICARE GROUP
2RA6750MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
300949440MEDICAIDNEW YORK
4CC9269OTHERPENNSYLVANIARR MEDICARE GROUP
50010399860010MEDICAIDPENNSYLVANIA
6P00127810OTHERPENNSYLVANIARR MEDICARE PIN
7C31691MEDICARE UPIN
8143645N82MEDICARE PINPENNSYLVANIA

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: 5/5/2024

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.