TIMOTHY D. O'BRIEN (NPI# 1639136823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639136823 |
| Entity Type | Individual |
| Full Name | TIMOTHY D. O'BRIEN |
| Credential | MD |
| Practice Address |
819 State Route 664 N Ste B Logan OH 43138-8540 |
| Mailing Address |
Po Box 228 Logan OH 43138-0228 |
| Practice Telephone | 7403808140 |
| Practice Fax Number | 7403808150 |
| Mailing Telephone | 7403801300 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35076169 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2272964 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801449681 | Timothy J O'brien | Psychologist | 10540 S Western Ave Ste 207, Chicago, IL 60643-2529 | 2019-07-19 |
| 1053728808 | Timothy O'brien | Counselor | 27 Cynthia Rd, Abington, MA 02351-1110 | 2014-07-14 |
| 1487910733 | Timothy Tracy O'brien | Dentist | 1613 12th Ave Rd Ste A, Nampa, ID 83686-6183 | 2012-04-11 |
| 1295938322 | Timothy Stanley O'brien | Specialist | 2641 Se Ocean Blvd, Stuart, FL 34996-3401 | 2007-06-06 |
| 1538221668 | Timothy E O'brien | Acupuncturist | 66 Nooseneck Hill Rd, Opus Acupuncture, West Greenwich, RI 02817-1523 | 2006-12-14 |
| 1538175815 | Timothy Warren O'brien | Chiropractor | 547 W Main St, Morehead, KY 40351-1539 | 2006-07-31 |
| 1912995184 | Timothy J O'brien | Ophthalmology | 27 Porter Ave, Jamestown, NY 14701-6221 | 2005-10-11 |
| 1033765987 | Timothy A O'brien | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2019-08-16 |
| 1164983714 | Timothy Patrick O'brien | Social Worker | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2019-03-27 |
| 1053899286 | Timothy J. O'brien | Physician Assistant | 452 W 10th Ave, Columbus, OH 43210-1240 | 2018-07-31 |
| Street Address |
819 STATE ROUTE 664 N STE B |
| City | LOGAN |
| State | OH |
| Zip Code | 43138-8540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638957 | Michael S Tornwall | Surgery | 819 State Route 664 N Ste B, Logan, OH 43138-8540 | 2005-06-09 |
| 1528149515 | Matthew Joel Kauffman | Orthopaedic Surgery | 819 State Route 664 N Ste B, Logan, OH 43138-8540 | 2006-10-18 |
| 1326143777 | Elaine A Beed | Internal Medicine | 819 State Route 664 N Ste B, Logan, OH 43138-8540 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
| 1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
| 1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
| Find all providers in zip 43138 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497928147 | Total Concept Health Care | Surgery | 920 N 200 W, Suite A, Logan, UT 84321-3200 | 2008-04-02 |
| 1770533564 | University Physicians & Surgeons, Inc. | Surgery | 77 Hospital Drive, Kruger Medical Plaza, Suite 201, Logan, WV 25601 | 2006-05-11 |
| 1285638957 | Michael S Tornwall | Surgery | 819 State Route 664 N Ste B, Logan, OH 43138-8540 | 2005-06-09 |
| 1821495334 | Ihc Health Services Inc | Surgery | 1350 N 500 E, Logan, UT 84341-2400 | 2014-11-26 |
| 1053610279 | Logan Reed Mckenna | Surgery | 1350 N 500 E, Logan, UT 84341 | 2011-03-28 |
| 1891929022 | Deanne Long Md LLC | Surgery | 2380 N 400 E, Logan, UT 84341-6000 | 2009-05-01 |
| 1083866511 | James Charlton Paugh II | Surgery | 20 Hospital Dr, Kruger Building, Suite 300, Logan, WV 25601-3452 | 2008-10-15 |
| 1982875878 | Cache Valley Surgical Consultants, PC | Surgery | 550 E 1400 N, Suite D, Logan, UT 84341-2406 | 2008-03-18 |
| 1427227768 | Lee S. Broadbent, M.d. Apc | Surgery | 550 E 1400 N, Suite D, Logan, UT 84341-2406 | 2008-02-20 |
| 1013134550 | Gregg Arthur Marshall | Surgery | 1350 N 500 E, Logan, UT 84341-2400 | 2007-04-19 |
| Find all providers in LOGAN | ||||
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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.