Barbara O'Reilly, M.D., P.A.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME55120 Issued in FL

Practice address

1370 13TH Ave S
Ste. 216
Jacksonville Beach, FL 32250-3230

Phone

(904) 246-8480

Fax

(904) 246-8578

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Angel Kids PA

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1124162854
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1285741348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 13TH AVE S",
            "address_2": "STE. 216",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503230",
            "telephone_number": "904-246-8480",
            "fax_number": "904-246-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 13TH AVE S",
            "address_2": "STE. 216",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503230",
            "telephone_number": "904-246-8480",
            "fax_number": "904-246-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "BARBARA",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME55120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271318700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PAL ID",
            "identifier": "0890743012",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "15099",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "2038410",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "05715",
            "identifier": "05715",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Nunes Caravaglio, MD
• Janae Nuspl
• Danielle A O'Brien, APRN
• Shannon Jane O'Brien, F.N.P.
• James V O'Leary, MD
• Ines Kevric O'Shaughnessy, MD
• Timothy Joseph O'Shaughnessy, M.D.
• Christopher Mark O'Shea
• Ocean View Health Chiropractic
• Ocean View Health Inc

• Pediatrics Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.