Elizabeth O'Leary, P.L.L.C

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ELIZABETH O'LEARY, P.L.L.C

Practice address

5775 Wayzata Blvd Ste 190
St Louis Park, MN 55416-2627

Phone

(612) 482-2118

NPI assigned

Dec 13, 2023

Organization subpart

No

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

Authorized official

Name

Elizabeth O'Learay, MD

Title

Owner

Phone

(612) 482-2118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Ann O'Leary, M.D., M.H.S.

  • Surgery Physician
  • Bloomington, MN
  • NPI 1174782528
  Medicare reassignment NPD

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1447028006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 EDINA BLVD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241134",
            "telephone_number": "612-482-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 190",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162627",
            "telephone_number": "612-482-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH O'LEARY, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "O'LEARAY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-482-2118",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Elaine Elijah, O.D.
• Elizabeth Wagner, PSYD, LP, Inc.
• Danielle Mary Becker Ellingson, PHD
• Mary Ellingson, RN
• Georgianna Faye Elliott, REGISTERED DIETITIAN
• Ellipsis Mental Health, PLLC

• Surgery Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.