Edward O'Hara, M.D.
Individual provider Active NPI General Practice Physician · Corning, CA
NPI 1124313093 · NPPES record last updated Jan 20, 2014
Key facts
- NPI
- 1124313093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- A126209 (CA)
- Practice address
- 155 Solano St
Corning, CA 96021-3511 - Phone
- (530) 824-4663
- NPI assigned
- Jun 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015962A | IN | MD | Surgery Physician |
| A126209 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Ohara MD | General Practice | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 11015962A | IN | |
| General Practice Physician | 208D00000X | A126209 | CA | Yes |
Addresses
Primary practice location
155 Solano St
Corning, CA 96021-3511
Mailing address
155 Solano St
Corning, CA 96021-3511
Phone (530) 824-4663
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All providers in Corning, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.