John F O'Leary MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

24502 Issued in MN

Legal business name

JOHN F O'LEARY MD PA

Practice address

2545 Chicago Ave
Suite 510
Minneapolis, MN 55404-4522

Phone

(952) 285-6879

Fax

(952) 285-6890

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Jyl R Dinville, CCS-P

Title

Physician Reimbursement Specialist

Phone

(402) 397-5462

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1497874754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27015",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681270015",
            "telephone_number": "402-393-9459",
            "fax_number": "402-397-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CHICAGO AVE",
            "address_2": "SUITE 510",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044522",
            "telephone_number": "952-285-6879",
            "fax_number": "952-285-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F O'LEARY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "DINVILLE",
        "authorized_official_first_name": "JYL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN REIMBURSEMENT SPECIALIST",
        "authorized_official_telephone_number": "402-397-5462",
        "authorized_official_credential": "CCS-P"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MN",
            "license": "24502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30712800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "00949-OL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "3D011OL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald A Johannsen, MD
• Kirsten Lee Johansen, MD
• Julieanne Ball Johanson, MD
• John a. Haugen Associates, P.a.
• John Bergman, M.D. LTD
• John G. Stark M.D.P.a.
• John N. O'Neil, PH.D., L.P., LLC
• Andrew Lyle John, PSYD, LP
• Dona Mary John
• Florence John, M.D.

• Surgery Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.