LANCE G OBERG (NPI# 1215947221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215947221 |
| Entity Type | Individual |
| Full Name | LANCE G OBERG |
| Credential | M. D. |
| Practice Address |
7300 Bosque Blvd. Waco TX 76710 |
| Mailing Address |
Po Box 848476 Dallas TX 75284-8476 |
| Practice Telephone | 2542022600 |
| Practice Fax Number | 2542022650 |
| Mailing Telephone | 2542024655 |
| Mailing Fax Number | 2542024697 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E7212 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 00F72F | 01 |
| TX | 098299301 | 05 |
| Street Address |
7300 BOSQUE BLVD. |
| City | WACO |
| State | TX |
| Zip Code | 76710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225342926 | Geoffrey May | Psychiatry & Neurology | 4800 Memorial Drive (151c), Waco, TX 76711 | 2010-08-05 |
| 1063658524 | Jean Nerva Dortilus | Psychiatry & Neurology | 3500 Hillcrest Dr Ste 7, Waco, TX 76708-3144 | 2009-01-05 |
| 1528227063 | Joshua J Warren | Psychiatry & Neurology | 6001 W Waco Dr Ste M, Waco, TX 76710-6309 | 2008-06-09 |
| 1891995411 | Christina Ann Chen | Psychiatry & Neurology | 1000 W State Highway 6 Ste 120, Waco, TX 76712-3787 | 2007-07-22 |
| 1467551531 | Babatunde Francis Fagbamiye | Psychiatry & Neurology | 4800 Memorial Dr # 94b, Waco, TX 76711-1329 | 2006-09-22 |
| 1396756516 | Claude Lynn Parker | Psychiatry & Neurology | Central Texas Veterans Affairs Hospital, 4800 Memorial Dr, Waco, TX 76711-0000 | 2006-08-11 |
| 1407866403 | Stephen L. Mark | Psychiatry & Neurology | 405 Londonderry Dr Ste 202, Waco, TX 76712-7921 | 2006-08-09 |
| 1366422123 | Tony A Payson | Psychiatry & Neurology | 213a Old Hewitt Rd, Waco, TX 76712-6647 | 2006-01-18 |
| 1588658298 | Allen L Hueston | Psychiatry & Neurology | 110 S 12th St, Waco, TX 76701-1810 | 2005-09-08 |
| 1861494700 | Kirk Steven Dutton | Psychiatry & Neurology | 1316 Washington Ave, Waco, TX 76701-1129 | 2005-08-11 |
| Find all providers in WACO | ||||
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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.