Timothy D. O'Brien, MD

Surgery Physician · Logan, OH

Individual Active NPI

NPI number 1639136823

Practice location

819 State Route 664 N Ste B
Logan, OH 43138-8540
Phone
(740) 380-8140
Fax
(740) 380-8150

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NPI record

NPI
1639136823
Entity type
Individual (Type 1)
Enumeration date
May 1, 2006
Last updated
November 23, 2020
Certified
November 23, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 35076169 OH

Mailing address

PO Box 228
Logan, OH 43138-0228
Phone
(740) 380-1300

About Dr. O'Brien

Timothy D. O'Brien, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 819 State Route 664 N Ste B, Logan, OH 43138-8540. The NPI number 1639136823 was assigned on May 1, 2006 and the record was last updated on November 23, 2020.

Dr. O'Brien lists a license in the registry: #35076169 (OH) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy D. O'Brien, MD?

The NPI number is 1639136823.

What is the phone number of Dr. O'Brien?

The phone number listed for the practice location is (740) 380-8140.

Where is Dr. O'Brien located?

819 State Route 664 N Ste B, Logan, OH 43138-8540.

What is the taxonomy code for Dr. O'Brien?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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