Active NPI
Jacqueline G O'Leary, MD, MPH
- Gastroenterology Physician
- Dallas, TX
National Provider Identifier
1336121565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- L2514
- Practice address
- 3410 Worth St
Suite 860
Dallas, TX 75246-2003 - Phone
- (214) 820-8500
- Fax
- (214) 820-0993
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | L2514 | TX | Primary |
| Hepatology Physician | 207RI0008X | L2514 | TX | |
| Transplant Hepatology Physician | 207RT0003X | L2514 | TX |
Addresses
Primary practice location
3410 Worth St
Suite 860
Dallas, TX 75246-2003
Mailing address
3410 Worth St
Suite 860
Dallas, TX 75246-2003
Phone (214) 820-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1848467-04 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1336121565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 WORTH ST",
"address_2": "SUITE 860",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462003",
"telephone_number": "214-820-8500",
"fax_number": "214-820-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 WORTH ST",
"address_2": "SUITE 860",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462003",
"telephone_number": "214-820-8500",
"fax_number": "214-820-0993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY",
"first_name": "JACQUELINE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "L2514",
"primary": true
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "TX",
"license": "L2514",
"primary": false
},
{
"code": "207RT0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Transplant Hepatology",
"state": "TX",
"license": "L2514",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1848467-04",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.