GARY F OBERG (NPI# 1306061932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306061932 |
| Entity Type | Individual |
| Full Name | GARY F OBERG |
| Practice Address |
4755 Campus Dr Sierra Vista AZ 85635-2449 |
| Mailing Address |
611 W Union St Benson AZ 85602-6718 |
| Practice Telephone | 5204583932 |
| Mailing Telephone | 5205860800 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2010-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548374135 | Gary Richard Oberg | Allergy & Immunology | 31 N Virginia St, Crystal Lake, IL 60014-4125 | 2006-08-19 |
| 1407820954 | Gary D Oberg | Psychiatry & Neurology | 211 Church St, Saratoga Springs, NY 12866-1046 | 2006-02-13 |
| Street Address |
4755 CAMPUS DR |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316074164 | Geraldine Alexis | Counselor | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2007-02-28 |
| 1487175162 | Chiricahua Community Health Centers, Inc | Clinic/Center | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2017-07-03 |
| 1225579808 | Dennis George Demers | Registered Nurse | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2017-03-15 |
| 1184978488 | Southeastern Arizona Behavioral Health Services, Inc. | Clinic/Center | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2012-11-08 |
| 1851684500 | Genoa Healthcare, LLC | Pharmacy | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2011-05-26 |
| 1063676757 | Nancy Casurella | Registered Nurse | 4755 Campus Dr, Sierra Vista, AZ 85635 | 2008-07-11 |
| 1093999526 | Deborah A. Crowe | Nurse Practitioner | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508378266 | Angelika C Babcock | Counselor | 500 E Fry Blvd, Sierra Vista, AZ 85635-1839 | 2017-11-02 |
| 1790176345 | Monica Lervold | Counselor | 942 E Fry Blvd, Sierra Vista, AZ 85635-2640 | 2015-02-17 |
| 1356775548 | Shirley Gattis | Counselor | 4888 Barranca Arbolada, Sierra Vista, AZ 85635-5732 | 2013-08-24 |
| 1528340338 | Janet Boursier | Counselor | 1865 Paseo San Luis Ste C, Sierra Vista, AZ 85635-5816 | 2011-09-16 |
| 1669087052 | Sarita Fager | Counselor | 4669 N Commerce Dr Ste 4a, Sierra Vista, AZ 85635-2497 | 2020-09-11 |
| 1114471067 | Lindy N Cain | Counselor | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2016-08-09 |
| 1508231457 | Theresa Chiu | Counselor | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2015-12-03 |
| 1811273568 | Tides of Change | Counselor | 333 W Wilcox Dr, Ste. 303, Sierra Vista, AZ 85635-1789 | 2011-10-26 |
| 1285871855 | Randolph Scott Hollingsworth | Counselor | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2009-01-19 |
| 1144439969 | Lisa Rae Carrie | Counselor | 801 N Lenzner Ave, Sierra Vista, AZ 85635-0905 | 2007-05-21 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on GARY F OBERG.
| 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.