DENNIS S O'BRIEN (NPI# 1952449829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952449829 |
| Entity Type | Individual |
| Full Name | DENNIS S O'BRIEN |
| Credential | MD |
| Practice Address |
102 Race Track Rd Ste 1 Ticonderoga NY 12883-4004 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5185856708 |
| Practice Fax Number | 5185853260 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5188242388 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 154766 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00774992 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588780241 | Dennis Joseph O'brien | Chiropractor | 209 Landis Ave, Chula Vista, CA 91910-2608 | 2007-03-22 |
| 1306914221 | Dennis O'brien | Psychologist | 9 Columbine Rd, Milton, MA 02186-1719 | 2006-11-30 |
| 1801826573 | Dennis Michael O'brien | Chiropractor | 4408 San Juan Ave., Suite 2, Fair Oaks, CA 95628 | 2006-07-05 |
| 1043250079 | Dennis Arthur O'brien | Psychiatry & Neurology | 5325 Broder Blvd, Dublin, CA 94568 | 2006-06-07 |
| 1760026231 | Dennis Kelly O'brien | Social Worker | 7433 N Clark St, Chicago, IL 60626-1619 | 2019-10-29 |
| 1376196311 | Dennis O'brien | Pediatrics | 900 Ridgebury Rd, Ridgefield, CT 06877-1058 | 2019-07-18 |
| 1023267408 | Dennis Michael O'brien | Dentist | 5308 Lake Murray Blvd, Suite D, La Mesa, CA 91942-1334 | 2008-09-10 |
| 1568673903 | Dennis M. O'brien Jr. | Pediatrics | 7950 W Jefferson Blvd, Suite 217, Fort Wayne, IN 46804-4140 | 2007-05-25 |
| 1912034802 | Dennis Matthew O'brien | Nurse Anesthetist, Certified Registered | 1504 Taub Loop, Houston, TX 77030-1608 | 2007-02-27 |
| 1629185491 | Dennis O'brien | Podiatrist | 216 Stelton Rd, Suite E3, Piscataway, NJ 08854-3284 | 2006-08-25 |
| Street Address |
102 RACE TRACK RD STE 1 |
| City | TICONDEROGA |
| State | NY |
| Zip Code | 12883-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649295254 | Ephraim E Back | Family Medicine | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883 | 2006-07-13 |
| 1184285751 | Nicholas J Montello | Nurse Practitioner | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2019-06-25 |
| 1669032470 | Elizabeth Anderson | Nurse Practitioner | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2019-06-14 |
| 1770068371 | Loren M Allen | Nurse Practitioner | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2018-09-28 |
| 1992229595 | Janine N Gadjo | Nurse Practitioner | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2017-07-26 |
| 1356871909 | Nicole Robinson | Pediatrics | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2017-06-15 |
| 1447539507 | Kristin L Mack | Family Medicine | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528582822 | Walgreen Co | Pharmacy | 1161 Nys Route 9n, Ticonderoga, NY 12883 | 2017-07-28 |
| 1891233540 | Anne Kuhl | Specialist | 70 Lake George Ave, Ticonderoga, NY 12883 | 2017-02-02 |
| 1336697580 | Hayley Jean Woods | Pharmacist | 1161 Nys Rte 9n, Ticonderoga, NY 12883 | 2016-09-16 |
| 1962776153 | Linda L Leavens | Counselor | 166 Lord Howe St., Ticonderoga, NY 12883 | 2012-03-06 |
| 1093958084 | Diana J Eisenberg | Skilled Nursing Facility | 340 Burgoyne Road, Ticonderoga, NY 12883 | 2009-04-07 |
| 1386765881 | Dean Lewis Cook | Dentist | 3 Defiance St, Ticonderoga, NY 12883 | 2007-04-02 |
| 1902936941 | Susan B Malaney | Counselor | 5 Defiance Street, Ticonderoga, NY 12883 | 2007-03-07 |
| 1023182813 | Moses Ludington Hospital Pharmacy | Pharmacy | 1019 Wicker Street, Ticonderoga, NY 12883 | 2006-11-20 |
| 1336245083 | Ticonderoga Emergency Squad Inc | Ambulance | 118 Champlain Avenue, Ticonderoga, NY 12883 | 2006-09-16 |
| 1952319386 | Hudson Headwaters Health Network | Social Worker | 101 Adirondack Drive, Suite 2, Ticonderoga, NY 12883 | 2006-08-03 |
| Find all providers in zip 12883 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| Find all providers with the same taxonomy | ||||
| City | TICONDEROGA |
| Zip Code | 12883 |
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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.