DR. EVAN D OBRIEN (NPI# 1740381185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740381185 |
| Entity Type | Individual |
| Full Name | DR. EVAN D OBRIEN |
| Credential | M.D. |
| Practice Address |
1225 N Broad St Suite 3 West Deptford NJ 08096-1203 |
| Practice Telephone | 8568450707 |
| Practice Fax Number | 8568450082 |
| Mailing Telephone | 8568450707 |
| Mailing Fax Number | 8568450082 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MA63525 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | KEYSTONE HEALTH PLAN EAST | 2003795000 | 01 |
| NJ | AMERIHEALTH | 2003795000 | 01 |
| NJ | HORIZON | 232764000 | 01 |
| Street Address |
1225 N BROAD ST SUITE 3 |
| City | WEST DEPTFORD |
| State | NJ |
| Zip Code | 08096-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619126539 | Evan D. O'brien, M.d., P.c | Orthopaedic Surgery | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619126539 | Evan D. O'brien, M.d., P.c | Orthopaedic Surgery | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429036 | One Oak Medical Group, LLC | Orthopaedic Surgery | 1200 Green St, Iselin, NJ 08830-2014 | 2020-08-28 |
| 1164983268 | Gbolahan O. Okubadejo, M.d PC | Orthopaedic Surgery | 32 Marquis Ct, Edgewater, NJ 07020-2900 | 2019-03-29 |
| 1033614409 | Atherton Medical PC | Orthopaedic Surgery | 33 Park View Ave Apt 1105, Jersey City, NJ 07302-8306 | 2018-03-28 |
| 1821480245 | Heidi Martin Hullinger Md, PC | Orthopaedic Surgery | 33 Overlook Rd Ste 305, Summit, NJ 07901-3563 | 2015-02-22 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1265754832 | Specialized Spine Surgery | Orthopaedic Surgery | 835 Chanticleer Drive, Cherry Hill, NJ 08003-4813 | 2010-02-23 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| 1588841225 | Dr Roland Johnkins | Orthopaedic Surgery | 24 Mare Haven Ct, North Brunswick, NJ 08902-4847 | 2008-01-24 |
| 1497947022 | Gbolahan Olawole Okubadejo | Orthopaedic Surgery | 25 Rockwood Pl Ste 335, Englewood, NJ 07631-4959 | 2007-08-17 |
| 1578765244 | Joshua Seth Rovner | Orthopaedic Surgery | 440 Curry Ave Ste A, Englewood, NJ 07631-1794 | 2007-06-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST DEPTFORD |
| Zip Code | 08096 |
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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.