DR. DAVID REESE O'BRIEN JR. (NPI# 1063479327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063479327 |
| Entity Type | Individual |
| Full Name | DR. DAVID REESE O'BRIEN JR. |
| Credential | M.D. |
| Practice Address |
171 Ashley Ave Charleston SC 29425-6946 |
| Mailing Address |
Po Box 751461 Charlotte NC 28275-1461 |
| Practice Telephone | 8437921414 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
27854 | SC | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
00669 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RR MEDICARE PROVIDER # | 250012093 | 01 |
| NC | BLUE MEDICARE PROVIDER # | 38684 | 01 |
| NC | BCBS PROVIDER # | 127R9 | 01 |
| NC | MEDCOST PROVIDER # | A1174 | 01 |
| NC | UHC PROVIDER # | 0908591 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710322565 | David H O'brien | Counselor | 835 Springdale Drive - Suite 100, Health Advocate Employee Assistance Program, Exton, PA 19341 | 2013-05-07 |
| 1104125418 | David Raymond O'brien | Family Medicine | 1907 W Summit Pkwy Apt 306, Spokane, WA 99201-3133 | 2011-03-25 |
| 1730191768 | David Michael O'brien | Pathology | 3961 S Summit Ln, Columbus, IN 47201-4971 | 2006-08-11 |
| 1740269646 | David Michael O'brien | Preventive Medicine | 6500 S. Macarthur Blvd, Bldg 13 Aam-300, Oklahoma City, OK 73169 | 2006-01-10 |
| 1013910611 | David A O'brien | Pharmacist | 516 First St., Cordova, AK 99574-0220 | 2005-05-27 |
| 1366814485 | David O'brien | Occupational Therapist | 40 Martin St, Bloomfield, NJ 07003-3938 | 2015-10-28 |
| 1811264906 | David O'brien | Technician, Other | 124 River Rd, Salinas, CA 93908-9601 | 2011-11-17 |
| 1124291208 | David Neal O'brien | Pharmacist | 113 Holland Ave, Va Outpatient Pharmacy, Albany, NY 12208-3410 | 2008-04-09 |
| 1821125154 | David Matthew O'brien | Physical Therapist | 200 Tracy Way, Charleston, WV 25311-1258 | 2007-02-27 |
| 1043327828 | David Allan O'brien | Dentist | 2141 Loch Rane Blvd, #122, Orange Park, FL 32073-5723 | 2006-08-25 |
| Street Address |
171 ASHLEY AVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203922 | Nicholas J Pastis Jr. | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8900 | 2005-05-24 |
| 1760083745 | Eleta Lazar Donelan | Physician Assistant | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-11-05 |
| 1285231340 | Bree Romecki | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-10-02 |
| 1942812078 | Warren Allen James | Student in an Organized Health Care Education/Training Program | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-19 |
| 1457962060 | Rosmary Ros-demarize | Psychologist | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-08-17 |
| 1558971390 | Auryelle Ascue | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-06 |
| 1396361994 | David Gonzalez | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8911 | 2020-06-19 |
| 1003432592 | Hannah Burrick | Audiologist | 171 Ashley Ave, Charleston, SC 29425-8903 | 2020-06-19 |
| 1528683562 | Kelsey Renee Full | Emergency Medicine | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-06-16 |
| 1861017949 | Christina Lee | Anesthesiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366427445 | Physical Medicine & Rehabilitation Associates Inc. | Physical Medicine & Rehabilitation | 400 Court Street, Suite 203, Charleston, WV 25301-1654 | 2005-12-12 |
| 1437227576 | Gregory Marvin Jones | Physical Medicine & Rehabilitation | 2093 Henry Tecklenburg Dr, Ste 310, Charleston, SC 29414-5741 | 2006-11-30 |
| 1609833516 | Timothy Michael Zgleszewski | Physical Medicine & Rehabilitation | 3030 Ashley Town Center Dr, Bldg A-102, Charleston, SC 29414-5664 | 2006-04-26 |
| 1992779615 | James E. Warmoth | Physical Medicine & Rehabilitation | 316 Calhoun St, @roper Rehabilitation Hospital, Charleston, SC 29401-1113 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1598295230 | Arcis Healthcare, LLC | Physical Medicine & Rehabilitation | 1300 Hospital Dr Ste 130, Mount Pleasant, SC 29464-3204 | 2017-06-15 |
| 1770740664 | Carolina Spine and Sport Rehabiliatation Specialist,p.a. | Physical Medicine & Rehabilitation | 763 Travelers Blvd Ste D, Summerville, SC 29485-8796 | 2008-05-19 |
| 1114092897 | Craig Dyer Harris | Physical Medicine & Rehabilitation | 130 East Third North Street, Summerville, SC 29483 | 2006-11-21 |
| 1023180031 | Craig D Harris Md Pa | Physical Medicine & Rehabilitation | 310 N Gum St, Summerville, SC 29483-6874 | 2006-11-14 |
| 1255401782 | Jeffrey C. Wilkins | Physical Medicine & Rehabilitation | 631 Bellamy Ave, Unit A, Murrells Inlet, SC 29576-6459 | 2006-11-09 |
| 1700992922 | Waccamaw Pain Partners Pa | Physical Medicine & Rehabilitation | 4033 Hwy 17 Bypass, Suite 108, Murrells Inlet, SC 27576 | 2006-08-21 |
| 1669433298 | John Robert Alexander Jr. | Physical Medicine & Rehabilitation | 526 Johnnie Dodds Blvd Ste 301, Mt Pleasant, SC 29464 | 2006-03-31 |
| 1447242813 | Matthew Terzella | Physical Medicine & Rehabilitation | 303 E Wood St, Spartanburg, SC 29303-3020 | 2005-08-22 |
| 1780684829 | George Alan Bitting | Physical Medicine & Rehabilitation | 718 Lafayette Ave, Camden, SC 29020-3522 | 2005-07-29 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.