MARY CLAIRE OBRIEN (NPI# 1013992163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013992163 |
| Entity Type | Individual |
| Full Name | MARY CLAIRE OBRIEN |
| Credential | MD |
| Practice Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
| Mailing Address |
Po Box 344 Winston Salem NC 27102-0344 |
| Practice Telephone | 3367162255 |
| Mailing Telephone | 3367162255 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2010-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 009801427 | NC | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
009801427 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 13346 | 01 |
| SC | Q01427 | 05 | |
| NC | PARTNERS | 802686 | 01 |
| WV | 2004963000 | 05 | |
| NC | 8913346 | 05 | |
| VA | 9999922 | 05 | |
| NC | AETNA | 7661638 | 01 |
| NC | MEDCOST | C5232 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525647 | Mary C Obrien | Speech-Language Pathologist | 2834 W Henderson St, Chicago, IL 60618-5815 | 2019-12-10 |
| 1558541276 | Mary B Obrien | Social Worker | 350 Lee Road, Northbrook, IL 60062 | 2007-11-09 |
| 1699860296 | Mary Christine Obrien | Family Medicine | Greeley Cboc, 2020 16th St,suite1, Greeley, CO 80634 | 2006-10-03 |
| 1417474479 | Mary Obrien | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-08-29 |
| 1306117023 | Mary H Obrien | Audiologist | 601 W Maple Ave, Suite 213, Springdale, AR 72764-5335 | 2012-01-26 |
| 1780910349 | Mary Grace Obrien | Nurse Practitioner | 3651 Hill Blvd, Jefferson Valley, NY 10535-1501 | 2009-11-02 |
| 1699969295 | Mary Patricia Obrien | Physician Assistant | 6199 Transit Rd, Depew, NY 14043-1024 | 2007-08-28 |
| 1114079118 | Mary Elizabeth Obrien | Internal Medicine | 519 W 114th St, Columbia Health Service Mc3601, New York, NY 10027-7036 | 2007-01-18 |
| 1740352186 | Mary Theresa Obrien | Occupational Therapist | 850 Boylston St, Chestnut Hill, MA 02467-2477 | 2006-11-14 |
| 1982692711 | Mary K Obrien | Nurse Anesthetist, Certified Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-06 |
| Street Address |
MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990815 | Gary Lee Ray | Registered Nurse | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-05-23 |
| 1881295418 | Alan Townes Grizzard | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-11-02 |
| 1003421751 | Nicholas Ryan Tuttle | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-10 |
| 1356956122 | Caitlin Marie Clement | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27103 | 2020-09-09 |
| 1376154591 | Lori Sansone Flores | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-11 |
| 1821609330 | Hannah Carey Walker | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-10 |
| 1447876883 | Raveena Mahesh Chhabria | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-22 |
| 1780205930 | Jason Chin | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-1087 | 2020-04-29 |
| 1972122885 | Bryanna Dean Vesely | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-10 |
| 1679102909 | Ameen Barghi | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-2803 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409642 | Novant Medical Group, Inc. | Emergency Medicine | 190 Kimel Park Dr Ste 125, Winston Salem, NC 27103-6946 | 2017-11-02 |
| 1255864377 | Sarah M Harris | Emergency Medicine | Wfbmc Department of Emergency Medicine, Medical Center Boulevard, Winston Salem, NC 27157-7438 | 2017-04-05 |
| 1306292768 | Michael Edward Dean | Emergency Medicine | Emergency Medicine Department, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-05-04 |
| 1013361831 | Adam Scott Curatolo | Emergency Medicine | Emergency Medicine Department Meads Hl Fl 2, Wake Forest Baptist Medical Center Medical Center Blvd, Winston Salem, NC 27157-3754 | 2016-04-18 |
| 1104280585 | John Michael Butler II | Emergency Medicine | Gme Wake Forest Baptist Medical Ctr, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-04-11 |
| 1578982609 | Jonathan Tyler Jaffe | Emergency Medicine | 1 Medical Center Boulevard Department of Anesthesia, Winston Salem, NC 27157-3676 | 2014-04-16 |
| 1568724607 | Matthew Gentry | Emergency Medicine | Wake Forest Baptist Hospital, 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2012-06-14 |
| 1003178856 | Julio Miguel Arrieta | Emergency Medicine | Wake Forest Babtist Medical Ctr, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2012-06-07 |
| 1376838789 | Megan Elizabeth Docherty | Emergency Medicine | Emergency Medicine Wake Ctr, Medical Center Blvd., Winston Salem, NC 27157-0001 | 2011-06-14 |
| 1437363199 | James Scott Burrow | Emergency Medicine | 409 Lawndale Dr, Winston Salem, NC 27104-4015 | 2007-05-10 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.