SHEA KATHLEEN O'BRIEN MD NPI 1275054231

NPI Information

NPI: 1275054231
Provider Name: SHEA KATHLEEN O'BRIEN, MD
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

Organization: WOMENS CARE FLORIDA LLC

PECOS Registration: Yes

Address:
14546 OLD SAINT AUGUSTINE RD STE 305-311
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 260-2255
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Shea Kathleen O'brien, MD is an obstetrics obstetrics gynecology in Jacksonville, FL with 7 years of experience. Shea Kathleen O'brien, MD NPI is 1275054231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIV OF CENTRAL FLORIDA, COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

14546 OLD SAINT AUGUSTINE RD STE 305-311
JACKSONVILLE, FL
ZIP 32258-468
Phone: (904) 260-2255

The NPI 1275054231 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 6/29/2017 and was last updated on 7/2/2021.

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
1	207VX0000X	Obstetrics & Gynecology	Obstetrics	ME151059	FLORIDA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program		TRN25522	FLORIDA	No

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
1	TRN25522	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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