VINCENT J. O'BRIEN JR. MD, INC (NPI# 1073667010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073667010 |
| Entity Type | Organization |
| Organization Name | VINCENT J. O'BRIEN JR. MD, INC |
| Practice Address |
14601 Detroit Ave Ste 450 Lakewood OH 44107-4251 |
| Practice Telephone | 2165291440 |
| Practice Fax Number | 2165298432 |
| Mailing Telephone | 2165291440 |
| Mailing Fax Number | 2165298432 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VINCENT O'BRIEN (PRESIDENT) |
| Authorized Official Telephone | 2165291440 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
14601 DETROIT AVE STE 450 |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992976237 | Sarah J Easaw Md LLC | Internal Medicine | 1255 Route 70 Ste 31s, Lakewood, NJ 08701-5973 | 2008-03-14 |
| 1790818425 | Western Hematology Oncology Associates, P.C. | Internal Medicine | 34 Van Gordon St, Suite 160, Lakewood, CO 80228-1705 | 2007-03-13 |
| 1811904188 | David Morrison | Internal Medicine | 3300 E South St Ste 304, Lakewood, CA 90805-4594 | 2006-08-01 |
| 1265461768 | Alfred H Chan | Internal Medicine | 6323 111th St Sw, Lakewood, WA 98499-1303 | 2006-06-30 |
| 1407812043 | Nauman Moazzam | Internal Medicine | 11750 W. 2nd Place Suite 100, Lakewood, CO 80228-1705 | 2006-04-22 |
| 1013991736 | Stephen J Frank | Internal Medicine | 34 Van Gordan St, Ste 160, Lakewood, CO 80228 | 2005-12-06 |
| 1972587533 | Alvin L Otsuka | Internal Medicine | 11750 W. 2nd Place Suite100, Lakewood, CO 80228-1705 | 2005-12-06 |
| 1063411684 | Sultanali Alidina | Internal Medicine | 3300 E South St, Suite 209, Lakewood, CA 90805-4549 | 2005-07-15 |
| 1831506898 | Junaid Arshad | Internal Medicine | 3300 E South St Ste 304, Lakewood, CA 90805-4594 | 2014-07-22 |
| 1881872687 | Eric M. Cheung | Internal Medicine | 3300 E South St, Suite 305, Lakewood, CA 90805-4549 | 2008-02-04 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on VINCENT J. O'BRIEN JR. MD, INC.
| 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.