John Francis O'Leary, MD

Key facts

NPI

1124025754

Entity type

Individual (NPI type 1)

Primary specialty

Surgery Physician 208600000X

License

24502 (MN)

Practice address

2545 Chicago Ave S
Ste 510
Minneapolis, MN 55404

Phone

(952) 285-6879

Fax

(952) 285-6890

NPI assigned

Jun 28, 2005

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 4, 2008.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1124025754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27015",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681270015",
            "telephone_number": "402-393-9459",
            "fax_number": "402-397-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CHICAGO AVE S",
            "address_2": "STE 510",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "952-285-6879",
            "fax_number": "952-285-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "24502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30712800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

• Thomas Patrick O'Keefe
• Daniel Thomas O'Laughlin, M.D.
• Patrick O'Laughlin, PHD
• Daniel O'Leary, MD
• Hannah O'Leary, DNP, FNP-C
• Shane O'Leary, LICSW
• Peter O'Malia, LICSW
• Augustine Graham O'Malley, MD
• Brian O'Meara
• Gretchen O'Meara

All providers in Minneapolis, MN · Surgery Physician in Minnesota