Joan D Oleary MD PL

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME64412 Issued in FL

Legal business name

JOAN D OLEARY MD PL

Practice address

1555 Kingsley Ave
Suite 401
Orange Park, FL 32073-4560

Phone

(904) 278-3100

Fax

(904) 278-4463

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Joan D Oleary, MD

Title

President

Phone

(904) 278-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Amanda Halle Maloney, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1154217768
  NPD
• Alisha Marie Morris, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1558806646
  NPD
• Nicole A Garcia, PA-C

  • Medical Physician Assistant
  • Jacksonville, FL
  • NPI 1609901792
  NPD (past)
• Raquel S Watkins, MD

  • Allergy & Immunology Physician
  • Jacksonville, FL
  • NPI 1205036084
  NPD (past)

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1467702175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 KINGSLEY AVE",
            "address_2": "SUITE 401",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734560",
            "telephone_number": "904-278-3100",
            "fax_number": "904-278-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 KINGSLEY AVE",
            "address_2": "SUITE 401",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734560",
            "telephone_number": "904-278-3100",
            "fax_number": "904-278-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN D OLEARY MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "OLEARY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-278-3100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME64412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "18934B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronna Jean Jessee, MA
• Xiao-Jun Jiang, A.P.
• JK Health Systems, LLC
• M Adeeb Jlilati, MD
• JNS Physicians Group LLC
• Joann Denemark Inc.
• John a Fetchero Jr D O P a
• John J Harrington
• John M. Flinchbaugh D.O., P.L.
• Randy John, DC

• Dermatology Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.