DR. MICHAEL OBERLE


Address: 1120 15th St Rm Baa 8415, Augusta, GA 30912-4050
Phone: 7067212519

DR. MICHAEL OBERLE (NPI# 1790248953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790248953
Entity Type Individual
Full Name DR. MICHAEL OBERLE
Credential DO
Practice Address 1120 15th St Rm Baa 8415
Augusta
GA 30912-4050
Practice Telephone 7067212519
Enumeration Date 2019-04-12
Last Update Date 2020-06-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 11941 GA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1161 21st Ave S, Ccc-4322aa Mcn, Nashville, TN 372320011 6153436642

Office Location

Street Address 1120 15TH ST RM BAA 8415
City AUGUSTA
State GA
Zip Code 30912-4050

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
Find all providers in zip 30912

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063879005 Urology Clinics of North Texas, Pllc Urology 971 Broad St, #3, Augusta, GA 30901-7225 2016-01-21
1154946606 Catherine Wallace Urology 1120 15th St, Augusta, GA 30912-0006 2020-06-10
1548885023 Merry Ma Urology 1120 15th St, Augusta, GA 30912-0004 2020-06-10
1790342590 Joshua Hunter Lambert Urology 1120 15th St, Augusta, GA 30912-0004 2019-05-28
1447741178 Eric Thomas Urology 1120 15th St, Augusta, GA 30912-0004 2018-05-29
1801316625 Rashid Sayyid Urology 1120 15th St., Augusta, GA 30912 2017-06-22
1104354760 Matthew Kaufman Urology 1120 15th St, Augusta, GA 30912-0004 2017-05-26
1912351255 Eric Daniel Webb Urology 1120 15th St, Augusta, GA 30912-0004 2016-04-22
1053784223 Roy Witherington Sr. Urology 818 St. Sebastian Way, Augusta Urology Associates, Augusta, GA 30901 2015-11-10
1508247958 William Gregory Simpson Urology 1120 15th St, Augusta, GA 30912-0004 2015-06-11
Find all providers in AUGUSTA

Competitor

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City AUGUSTA
Zip Code 30912

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Dataset Information

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.

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