NPIMap

Individual provider Active NPI

James J O'Hearn

  • Diagnostic Radiology Physician
  • Brainerd, MN
National Provider Identifier
1467483776
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
42015 Issued in MN
Practice address
2019 S 6TH St
Brainerd, MN 56401-4528
Phone
(218) 822-4242
Fax
(218) 822-3758
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 42015 MN Primary

Addresses

Primary practice location

2019 S 6TH St
Brainerd, MN 56401-4528

Mailing address

2019 S 6TH St
Brainerd, MN 56401-4528
Phone (218) 822-4242

Other identifiers 3

IdentifierTypeStateIssuer
1601238MedicaidMN
0120300OtherMNPREFERRED ONE
21G130HOtherMNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100105000676 MN Practitioner - Diagnostic Radiology 0547228645 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Dakota School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mille Lacs Health SystemGroup PAC ID 4789577834, 47 clinicians

Practice addresses (Care Compare)

200 Elm St N
Onamia, MN 56359-7901
Phone (320) 532-2750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42015MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brainerd Medical Center Inc Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Mar 12, 2024 Accepting new patients
Mille Lacs Health System Current Accepting new patients
Mille Lacs Health System Current Accepting new patients
Mille Lacs Health System CurrentSince Jul 14, 2019 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Mar 12, 2024 Accepting new patients
Brainerd Medical Center Inc. CurrentSince Apr 1, 2012 Accepting new patients
Mille Lacs Health System CurrentSince Jul 14, 2019 Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

27378 State Highway 18
Garrison, MN 56450
Phone (320) 692-5599

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

Interoperability endpoints

  • Direct secure messaging: johearn626036@direct.ochin.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467483776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014528",
            "telephone_number": "218-822-4242",
            "fax_number": "218-822-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014528",
            "telephone_number": "218-822-4242",
            "fax_number": "218-822-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HEARN",
        "first_name": "JAMES",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "42015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1601238",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "0120300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21G130H",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

Verify at the official NPI Registry.