Individual provider Active NPI

Daniel John O'Hearn, M.D.

  • Internal Medicine Physician
  • Odessa, TX
National Provider Identifier
1356416887
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F8595 Issued in TX
Practice address
8050 E Highway 191
Suite 200
Odessa, TX 79765-8607
Phone
(432) 337-5411
Fax
(432) 337-0301
NPI assigned
Nov 21, 2006
Last updated
Oct 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F8595 TX Primary

Addresses

Primary practice location

8050 E Highway 191
Suite 200
Odessa, TX 79765-8607

Mailing address

8050 E Highway 191
Suite 200
Odessa, TX 79765-8607
Phone (432) 337-5411

Other identifiers 4

IdentifierTypeStateIssuer
100218103OtherTXFIRST CARE NETWORK
8H9552OtherTXBLUE CROSS BLUE SHIELD
P00024659OtherTXRAILROAD MEDICARE
159281801MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
F8595TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District Past Accepting new patients
Covenant Medical Group Internal Medicine Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1356416887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 E HIGHWAY 191",
            "address_2": "SUITE 200",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658607",
            "telephone_number": "432-337-5411",
            "fax_number": "432-337-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E HIGHWAY 191",
            "address_2": "SUITE 200",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658607",
            "telephone_number": "432-337-5411",
            "fax_number": "432-337-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HEARN",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F8595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE NETWORK",
            "identifier": "100218103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8H9552",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00024659",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159281801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.