DR. FREDERICK PAUL OBRIEN III (NPI# 1629129192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629129192 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK PAUL OBRIEN III |
| Credential | M.D. |
| Practice Address |
300 East Hospital Rd Dwight D. Eisenhower Army Medical Center Fort Gordon GA 30905 |
| Mailing Address |
1044 Highgrass Ct 1044 Highgrass Court Evans GA 30809-7083 |
| Practice Telephone | 7067875811 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2017-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 075294 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
300 EAST HOSPITAL RD DWIGHT D. EISENHOWER ARMY MEDICAL CENTER |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412500 | Virginia Yates | Family Medicine | 300 East Hospital Rd, Credentials Coordinator, Fort Gordon, GA 30905 | 2005-07-27 |
| 1821640756 | Jackie Nancy Chung | Student in an Organized Health Care Education/Training Program | 300 East Hospital Rd, Fort Gordon, GA 30905-5650 | 2019-07-11 |
| 1821524802 | Joshua Keith Hattaway | Orthopaedic Surgery | 300 East Hospital Rd, Fort Gordon, GA 30905-5650 | 2017-05-11 |
| 1730635442 | Caitlin Christoffel | Student in an Organized Health Care Education/Training Program | 300 East Hospital Rd, Fort Gordon, GA 30905-5650 | 2016-09-01 |
| 1316390990 | Joshua D Boucher | Family Medicine | 300 East Hospital Rd, Fort Gordon, GA 30905-5650 | 2016-07-19 |
| 1598147068 | Erin Caddell | Student in an Organized Health Care Education/Training Program | 300 East Hospital Rd, General Surgery Program, Ddeamc, Fort Gordon, GA 30905-5650 | 2015-06-22 |
| 1861874547 | Matthew Schorr IIi | Student in an Organized Health Care Education/Training Program | 300 East Hospital Rd, Fort Gordon, GA 30905 | 2015-06-18 |
| 1578978052 | Alicia Evans | Student in an Organized Health Care Education/Training Program | 300 East Hospital Rd, Family Medicine, Dwight D Eisenhower Army Medical Cente, Fort Gordon, GA 30905-5650 | 2014-06-24 |
| 1306274154 | Leslie Walker Roberson | Psychologist | 300 East Hospital Rd, Fort Gordon, GA 30905-5741 | 2013-10-14 |
| 1487975983 | Meredith Hays | Internal Medicine | 300 East Hospital Rd, Fort Gordon, GA 30905-5650 | 2010-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003072604 | J.richard Lee Evanson | Orthopaedic Surgery | 300 W Hospital Road, Room 11c17 Attn: Office of Gme, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2008-08-03 |
| 1841311222 | Jose J. Miranda | Orthopaedic Surgery | 300 W Hospital Rd Rm 11c17, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2007-04-03 |
| 1821524802 | Joshua Keith Hattaway | Orthopaedic Surgery | 300 East Hospital Rd, Fort Gordon, GA 30905-5650 | 2017-05-11 |
| 1760808844 | Kelly Davison | Orthopaedic Surgery | 300 East Hospital Road, Orthopaedic Surgery, Fort Gordon, GA 30905 | 2014-03-12 |
| 1831487396 | Justin Hire | Orthopaedic Surgery | 300 East Hospital Road, Residency Program: Orthopaedic Surgery, Fort Gordon, GA 30905-5650 | 2011-07-19 |
| 1649305509 | John Robert Reaume | Orthopaedic Surgery | 300 W Hospital Rd, Attention Credentials, Fort Gordon, GA 30905-5650 | 2007-02-22 |
| 1386614311 | Craig D Cameron | Orthopaedic Surgery | 300 W Hospital Rd, Orthopaedic Surgery Clinic, Fort Gordon, GA 30905-5741 | 2006-01-24 |
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| 1588273122 | Mallory Mary Garretson | Orthopaedic Surgery | 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 | 2020-07-29 |
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| 1821639758 | Optim Orthopedics, LLC | Orthopaedic Surgery | 586 Islands Hwy, Midway, GA 31320-5962 | 2019-10-02 |
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1588121123 | 2019 Coastal Orthopedics Surgical Assist LLC | Orthopaedic Surgery | 8882 Abercorn St, Savannah, GA 31406-4508 | 2019-03-01 |
| 1386108769 | Focus Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 642 Hospital Rd, Commerce, GA 30529-1142 | 2019-01-30 |
| 1326523572 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2108 Teron Trce Ste 100, Dacula, GA 30019-1666 | 2018-10-03 |
| 1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
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| City | FORT GORDON |
| Zip Code | 30905 |
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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.