Charles S Oleary, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 359 Issued in OK

Practice address

1400 W Pawnee St
Cleveland, OK 74020-3020

Phone

(918) 358-3588

Fax

(918) 358-2637

NPI assigned

Jul 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleveland Area Hospital AuthorityGroup PAC ID 3476615733, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Complete Home Health of Western Oklahoma Home health agency, Enid, OK, CCN 377167
• Cleveland Area Hospital Hospital, Cleveland, OK, CCN 371320
• Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.o.leary.3@13140.direct.athenahealth.com

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.

• Cleveland Area Hospital Holdings, Inc.

  dba Cleveland Area Hospital

  • Critical Access Hospital
  • Cleveland, OK
  • NPI 1427295872
  Medicare reassignment NPD
• Cleveland Area Hospital Holdings, Inc.

  dba Cleveland Area Hospital Professional Services

  • Emergency Medical Services (Emergency Medicine) Physician
  • Cleveland, OK
  • NPI 1801020565
  Medicare reassignment
• Ahs Henryetta Hospital LLC

  dba Utica Park Clinic Family Care

  • Rural Health Clinic/Center
  • Henryetta, OK
  • NPI 1871008722
  NPD (past)

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

• Cleveland Area Hospital Holdings, Inc.

  dba Cleveland Area Hospital

  • Critical Access Hospital
  • Cleveland, OK
  • NPI 1427295872
  Care Compare affiliation
• Fairview Home Health LLC

  dba Complete Home Health of Western Oklahoma

  • Home Health Agency
  • Enid, OK
  • NPI 1174519102
  Care Compare affiliation
• Saint Francis Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1003039488
  Care Compare affiliation
• Saint Francis Hospital, Inc.

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1144228487
  Care Compare affiliation

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1710177738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W PAWNEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203020",
            "telephone_number": "918-358-3588",
            "fax_number": "918-358-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W PAWNEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203020",
            "telephone_number": "918-358-3588",
            "fax_number": "918-358-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEARY",
        "first_name": "CHARLES",
        "middle_name": "S",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA 359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100094130C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Murphy
• Lily Muse
• Natalie G Myers
• Jessie Lynn Nelson
• Anna Lisa O'Neal
• Opco Cleveland, Ok, LLC (Cleveland Manor Nursing & Rehabilitaiton)
• Osu Center for Health Sciences (Osu-Aj Osu Medicine Cleveland)
• Osu Center for Health Sciences (Osu-Aj Cleveland Area Hospital-ER)
• Osu Center for Health Sciences (Osu-Aj Perry Evans Jr)
• Palace Drug Pharmacy

• Medical Physician Assistant in Cleveland, OK
• Providers in Cleveland, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.