SEAN VINCENT O'BRIEN (NPI# 1205379310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205379310 |
| Entity Type | Individual |
| Full Name | SEAN VINCENT O'BRIEN |
| Credential | PA-C |
| Practice Address |
740 High St Ste 1003 Williamsport PA 17701-3100 |
| Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 5703213160 |
| Practice Fax Number | 5703213161 |
| Mailing Telephone | 5703268723 |
| Mailing Fax Number | 5703268922 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2019-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OA004007 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE | OA004007 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 E 6th Ave, Suite 210, Conshohocken, PA 194281784 | 6108250107 | 4845314700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598109662 | Sean Patrick O'brien | Emergency Medicine | Msc 11 6025, University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-19 |
| 1134411192 | Sean Thomas O'brien | Pediatrics | 119 S Thompson Ave, Rushmore, MN 56168-9674 | 2011-05-10 |
| 1154940468 | Sean Aidan O'brien | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2020-04-16 |
| 1598248635 | Sean O'brien | Optometrist | 14894 N State Ave, Middlefield, OH 44062-9724 | 2018-09-14 |
| 1891275749 | Sean O'brien | Behavior Technician | 99-870 Iwaena St # 101, Aiea, HI 96701-3278 | 2018-08-20 |
| 1003271347 | Sean O'brien | Nurse Anesthetist, Certified Registered | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2015-12-30 |
| 1316324759 | Sean O'brien | Student in an Organized Health Care Education/Training Program | 500 Albany Ave, Hartford, CT 06120-2508 | 2015-05-06 |
| 1134464258 | Sean K O'brien | Pharmacist | 650 Huebner Rd, Fort Riley, KS 66442 | 2012-11-29 |
| 1205183563 | Sean Patrick Thomas O'brien | Adult Companion | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2012-08-06 |
| 1508126681 | Sean C O'brien | Physician Assistant | 1311 Barre-montpelier Rd, Ste 200, Berlin, VT 05602-0000 | 2012-05-22 |
| Street Address |
740 HIGH ST STE 1003 |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516944 | John N. Boll II | Family Medicine | 740 High St, Suite 4001, Williamsport, PA 17701-3100 | 2005-05-24 |
| 1184266918 | Erica Jeanne Ernest | Nurse Practitioner | 740 High St, Suite 1003, Williamsport, PA 17701-3100 | 2019-10-14 |
| 1609339167 | Nicholas Gorski | Student in an Organized Health Care Education/Training Program | 740 High St, Williamsport, PA 17701-3102 | 2019-04-11 |
| 1477046845 | Cameron Glagola | Family Medicine | 740 High St, Williamsport, PA 17701-3102 | 2018-06-11 |
| 1043730229 | Jillian Parsons | Family Medicine | 740 High St, Williamsport, PA 17701-3102 | 2017-06-20 |
| 1376070565 | Veniese Lawrence | Advanced Practice Midwife | 740 High St, Suite 1004, Williamsport, PA 17701-3100 | 2017-05-18 |
| 1053861138 | Rebecca Rhone | Nurse Practitioner | 740 High St, Suite 2001, Williamsport, PA 17701-3102 | 2016-10-12 |
| 1780132555 | Rebecca Russell | Advanced Practice Midwife | 740 High St, Suite 1004, Williamsport, PA 17701-3102 | 2016-09-21 |
| 1669823100 | Thomas Parrish | Family Medicine | 740 High St, Williamsport, PA 17701-3102 | 2016-06-27 |
| 1942681648 | Rana Kassis | Family Medicine | 740 High St, Suite 4001, Williamsport, PA 17701-3102 | 2015-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1669428132 | Theresa Anne Tarquinio | Physician Assistant | 701 Northway Rd, Williamsport, PA 17701-3813 | 2006-05-26 |
| 1336103688 | West Branch Neurology Associates, PC | Physician Assistant | 425 Market Street, First Floor, Williamsport, PA 17701-6345 | 2006-04-13 |
| 1588650857 | Kirsten Lynn Eldred | Physician Assistant | 130 Alexis Dr, Williamsport, PA 17701-9720 | 2005-09-22 |
| 1376052498 | Kristi Lee Freezer | Physician Assistant | 700 High St, Williamsport, PA 17701-3198 | 2017-09-20 |
| 1629528385 | Brian Kramer Jr. | Physician Assistant | 1201 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1900 | 2016-10-06 |
| 1770953861 | Molly Jean Horner | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2015-10-01 |
| 1396134532 | Ashley Imrisek | Physician Assistant | 700 High St, Williamsport, PA 17701-3198 | 2015-01-12 |
| 1326457623 | Megan Elizabeth Colvin | Physician Assistant | 700 High St, Williamsport, PA 17701-3198 | 2014-08-12 |
| 1609112689 | Joshua Alan Bower | Physician Assistant | 435 River Ave, Williamsport, PA 17701-3722 | 2012-12-20 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on SEAN VINCENT O'BRIEN.
| 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.