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DR. MARY ANN O'BRIEN MD
NPI 1013902162
Family Medicine in Fort Wayne, IN

Active since September 14, 2005
3909 NEW VISION DR, FORT WAYNE, IN 46845(260) 496-6602(260) 969-3065 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Ann O'brien Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ANN O'BRIEN MD (NPI 1013902162) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01037346A) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1013902162
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARY ANN O'BRIENCredential: MD
Location Address3909 NEW VISION DRFort Wayne, IN 46845-1725
Mailing Address1234 E Dupont Rd, Suite 3Fort Wayne, IN 46825-1545 · (260) 373-9700 · Fax (260) 458-5664
Phone(260) 496-6602
Fax(260) 969-3065
Sole ProprietorNo
Enumeration DateSeptember 14, 2005
Last NPPES UpdateSeptember 20, 2013
✔ NPI 1013902162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01037346A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3909 NEW VISION DR, Fort Wayne, IN 46845
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Other Identifiers 8

Medicare ID-Type Unspecified930024761Rr Medicare
Medicaid2517226OH
Medicaid104874481MI
Medicaid200033370IN
Medicare UPINE30140IN
Other000000005500Mplan
Other000000082547IN · Anthem
Medicare ID-Type Unspecified047840VIN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCKENNA A GOTTFRIED
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 425-5500
MS. DEBRA LAMMERS PA-C
Physician Assistant
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6610
GREGORY L CHUPP MD
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6610
KARA YACKEE
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6610
GREG R JOHNSON DO
Internal Medicine (Nephrology)
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6602
DR. JAMIE C BROEKHUIZEN D.O.
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6610
ALEXIS VICTORIA MOYER NURSE PRACTITIONER
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6610
LINDSEY RIBEL
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary O'brien's NPI number?

The NPI number for Mary O'brien is 1013902162. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Mary O'brien located?

Mary O'brien practices at 3909 New Vision Dr, Fort Wayne, IN 46845. The listed phone number is (260) 496-6602.

What is Mary O'brien's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary O'brien was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.