MEDICARE: MS. MERCY OBEIME M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	01044326A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801878947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MERCY OBEIME M.D.

Provider Business Mailing Address
First Line	:	1001 HADLEY RD.
Second Line	:	SUITE 101
City	:	MOORESVILLE
State	:	IN
Zip	:	46158
Country	:	US
Telephone Number	:	317-781-7344
Fax Number	:	317-834-3779

Provider Business Practice Location Address
First Line	:	1001 HADLEY RD.
Second Line	:	SUITE 101
City	:	MOORESVILLE
State	:	IN
Zip	:	46158
Country	:	US
Telephone Number	:	317-781-7344
Fax Number	:	317-834-3779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	05/21/2026

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