Oceanside Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

OCEANSIDE PEDIATRICS

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

Organization subpart

No

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

Authorized official

Name

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

Title

Owner

Phone

(904) 246-8480

Specialties & licenses 1

Addresses

Other identifiers 2

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15374/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1356458228",
    "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": {
        "organization_name": "OCEANSIDE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-246-8480",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271318700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "45122",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Joseph O'Shaughnessy, M.D.
• Christopher Mark O'Shea
• Ocean View Health Chiropractic
• Ocean View Health Inc
• Oceanside Family Therapy, LLC
• Mary Irene Oconnor, M.D.
• Octopia
• Open Air Wellness, LLC
• Optopia Inc.
• Joseph P Orallo, APRN

• 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.