Joan Dunstone O Leary, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0064412 Issued in FL

Practice address

1555 Kingsley Ave
Suite 401
Orange Park, FL 32073-9204

Phone

(904) 278-3100

Fax

(904) 278-4463

NPI assigned

Oct 12, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Borland Groover Clinic, PA

  • Gastroenterology Physician
  • Jacksonville, FL
  • NPI 1881644912
  NPD
• First Coast Dermatology P a

  • Specialist
  • Jacksonville, FL
  • NPI 1699968651
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720177264",
    "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": "320739204",
            "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": "320739204",
            "telephone_number": "904-278-3100",
            "fax_number": "904-278-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O LEARY",
        "first_name": "JOAN",
        "middle_name": "DUNSTONE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0064412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18934",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nutrition Coaches, LLC
• Nkemjika Yvonne Nweke, MD
• Madalyn Marie Nygren, MD
• Immaculee Nyirasuku, ARNP
• Nywes Healthcare
• Kari O'Berc
• David Allan O'Brien, D.M.D.
• Robin E O'Hearn, PH.D.
• Jessica O'Kelley
• Oakleaf Technologies

• 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 Jul 8, 2007; 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.