DR. JOHN JOSEPH O'BRYAN (NPI# 1992745632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992745632 |
| Entity Type | Individual |
| Full Name | DR. JOHN JOSEPH O'BRYAN |
| Credential | M.D. |
| Practice Address |
200 Northern Dr Troy NY 12182-1821 |
| Practice Telephone | 5182377363 |
| Practice Fax Number | 5182378995 |
| Mailing Telephone | 5182377363 |
| Mailing Fax Number | 5182378995 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 169022-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE BC-BS | 29F291 | 01 |
| NY | RAILROAD MEDICARE | 080014389 | 01 |
| NY | BLUE SHIELD NENY | 000401303001 | 01 |
| NY | 01074120 | 05 | |
| NY | MVP | 08019 | 01 |
| NY | CAPITAL DISTRICT PHYSICIA | 10002770 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538246491 | John L O'bryan | Physician Assistant | 1350 Hickory St, Suite 102, Melbourne, FL 32901-3224 | 2006-10-31 |
| Street Address |
200 NORTHERN DR |
| City | TROY |
| State | NY |
| Zip Code | 12182-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760421127 | Russell Wenacur | Family Medicine | 200 Northern Dr, Troy, NY 12182-1821 | 2006-06-04 |
| 1790796035 | Troy Family Physicians, PC | Family Medicine | 200 Northern Dr, Troy, NY 12182-1821 | 2006-08-11 |
| 1881632412 | Cynthia Duncan Bornt | Family Medicine | 200 Northern Dr, Troy, NY 12182-1821 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035937 | Alysa Jesica Evans | Nurse Practitioner | Riverview Pediatrics, 315 2nd Ave, Troy, NY 12182 | 2020-08-31 |
| 1528463155 | Kelli Siracusa | Occupational Therapist | 97 3rd Avenue, Troy, NY 12182 | 2014-10-24 |
| 1346591641 | Robin Jean Kennedy | Specialist | 597 Third Ave., Troy, NY 12182 | 2012-09-26 |
| 1093065609 | Denise Warren | Specialist | 597 3rd Avenue, Troy, NY 12182 | 2012-09-12 |
| 1063735850 | Laura Lynn Bolander | Student in an Organized Health Care Education/Training Program | 597 Third Avenue, Capital District Beginnings, Troy, NY 12182 | 2010-03-08 |
| 1083945521 | Shayne Elizabeth Johnson | Speech-Language Pathologist | 597 Third Ave, Troy, NY 12182 | 2010-01-22 |
| 1952471120 | Judith Walker Coletti | Registered Nurse | 415 Second Ave, Troy, NY 12182 | 2006-11-08 |
| 1073691234 | Matthew J Clemente | Dentist | 325 Oakwood Avenue, Troy, NY 12182 | 2006-11-02 |
| 1942383658 | David Carl Coletti | Surgery | 415 Second Avenue, Troy, NY 12182 | 2006-10-24 |
| 1982617395 | Meridian Communications Inc | Speech-Language Pathologist | 7 Meridian Ct, Troy, NY 12182 | 2006-08-15 |
| Find all providers in zip 12182 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159327 | Charity Jan Martin | Family Medicine | 507 Ellis Ave, Troy, TX 76579-2515 | 2020-09-16 |
| 1871123844 | Tangerine Health Inc. | Family Medicine | 1432 Devon Ln, Troy, MI 48084-7046 | 2020-01-18 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1952830432 | Fhpg, LLC | Family Medicine | 522 Allen St Ste 203, Troy, NC 27371-2861 | 2017-06-08 |
| 1144583832 | Norah Duncan | Family Medicine | 2041 E Square Lake Rd., Suite 300, Troy, MI 48085 | 2012-06-19 |
| 1740590231 | Bhavesh Patel | Family Medicine | 619 Edwardsville Rd, Troy, IL 62294-1441 | 2010-10-18 |
| 1427289081 | Ghidah Edmon Al-khouri | Family Medicine | 627 E Maple Rd Ste 200, Troy, MI 48083-2812 | 2009-07-30 |
| 1245467224 | Anne S Pamula | Family Medicine | 68 Fenner Ave, Troy, Troy, PA 16947-1501 | 2009-06-17 |
| 1831362425 | Michael Saad Mitry | Family Medicine | 3661 Wakefield Dr, Troy, MI 48083-5358 | 2008-04-04 |
| Find all providers in TROY | ||||
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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.