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Deactivated NPI 1346249349 Deactivated / Inactive NPI Female Practitioner

Dr. Susan Margaret Obrien , MD

Pediatrics • Broken Arrow, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Susan Obrien has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2005
NPI Deactivation Date May 01, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Susan Obrien, MD was a registered Pediatrics practicing in Broken Arrow, OK. Throughout an active medical career spanning 19 years, Dr. Obrien provided care at the practice location at 2950 S ELM PL until profile deactivation on 2024-05-01.

Practice Location & Contact Primary Location

Practice Address

2950 S Elm Pl
Ste 430

Broken Arrow, OK 740127877

Telephone 9184494061
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Broken Arrow, OK (730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OK 12486

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Madeline Penner , PA-C

Physician Assistant

NPI 1346639176

Physician Assistant (Certified)

NPI 1447237912

Doctor of Medicine (M.D.)

NPI 1770550980

Doctor of Medicine (M.D.)

Sianna Bates , APRN-CNP

Nurse Practitioner - Primary Care

NPI 1881324523

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Ashley Roberts

Nurse Practitioner - Family

NPI 1932683984

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 01, 2024

Record deactivated on May 01, 2024

NPI Profile Active February 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 29, 2008

Registered at 2950 S ELM PL, STE 430, BROKEN ARROW, OK 740127877 (Tel: 9184494061)

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Updated Business Mailing Address February 29, 2008

Registered at 6600 S YALE AVE, STE 1400, TULSA, OK 741363310 (Tel: 9184886001)

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Provider Name / Credentials Updated February 29, 2008

Recorded as SUSAN OBRIEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2008

Pediatrics (License #12486 in OK)

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Initial NPI Registration & Enumeration July 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
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NPI Administrative Meta

NPI Number: 1346249349
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2005
Last Update: February 29, 2008
Deactivation Date: May 01, 2024

Mailing Address

6600 S Yale Ave, Ste 1400

Tulsa, OK 741363310

Phone: 9184886001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.