SETH O'BRIEN (NPI# 1427317429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427317429 |
| Entity Type | Individual |
| Full Name | SETH O'BRIEN |
| Credential | CP, FAAOP |
| Practice Address |
2058 S Dobson Rd Ste 17 Mesa AZ 85202 |
| Mailing Address |
2058 S Dobson Rd Ste 17 Mesa AZ 85202-6456 |
| Practice Telephone | 4809693999 |
| Practice Fax Number | 4807302750 |
| Mailing Telephone | 4809693999 |
| Mailing Fax Number | 4807302750 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | CP003902 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ABC CERTIFICATION | CP003902 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7600 N 15th St Ste 105, Phoenix, AZ 850204330 | 6027452080 | 6027452074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053420026 | Seth D. O'brien | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2006-08-30 |
| Street Address |
2058 S DOBSON RD STE 17 |
| City | MESA |
| State | AZ |
| Zip Code | 85202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770938946 | Lorin Christopher Merkley | Prosthetist | 4135 S Power Rd Ste 127, Mesa, AZ 85212-3627 | 2016-04-25 |
| 1861948242 | Nextremity Prosthetic Design | Prosthetist | 4135 S Power Rd Ste 127, Mesa, AZ 85212-3627 | 2016-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020972 | Kaitlin Quan | Prosthetist | 1131 E Highland Ave, Phoenix, AZ 85014-3639 | 2020-07-16 |
| 1528620101 | Lisa Marie Bowers | Prosthetist | 3330 E Wahalla Ln, Phoenix, AZ 85050-7904 | 2019-07-03 |
| 1871017137 | Randall Scott Whiteside | Prosthetist | 1190 E Missouri Ave Ste 190, Phoenix, AZ 85014-2736 | 2017-07-28 |
| 1316268485 | Gregory Talen | Prosthetist | 3173 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2010-06-11 |
| 1437302544 | Prosthetic Center LLC | Prosthetist | 8440 E. Mcdonald Drive, Prosthetic Center Suite B, Scottsdale, AZ 85250-8300 | 2008-11-03 |
| 1912092610 | Stephen Mitchell Mcnamee | Prosthetist | 4501 N 32nd St, Phoenix, AZ 85018-3339 | 2006-10-04 |
| 1841806262 | Anthony Berland | Prosthetist | 4445 N 7th St, Phoenix, AZ 85014-4139 | 2020-09-21 |
| 1609386853 | Randy Whiteside Prosthetics LLC | Prosthetist | 1190 E Missouri Ave Ste 190, Phoenix, AZ 85014-2736 | 2017-10-02 |
| 1649424185 | Alan S Cota | Prosthetist | 3601 S 6th Avenue, Tucson Vamc, 05-121, Tucson, AZ 58723-0001 | 2008-11-11 |
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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.