O'Reilly Comprehensive Dermatology, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

50418 Issued in GA

Legal business name

O'REILLY COMPREHENSIVE DERMATOLOGY, INC.

Practice address

755 Mount Vernon Hwy.
Suite 330
Atlanta, GA 30228

Phone

(404) 330-8445

Fax

(404) 330-8456

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Mr. James Zwald

Title

Vice President/Secretary

Phone

(404) 273-4440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1720506231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 WESSYNGTON ROAD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30306",
            "telephone_number": "404-273-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY.",
            "address_2": "SUITE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30228",
            "telephone_number": "404-330-8445",
            "fax_number": "404-330-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'REILLY COMPREHENSIVE DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "ZWALD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "404-273-4440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "50418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin O'Neill, FNP
• Vanessa O'Neill, CRNP
• William Charles O'Neill IV, MD
• John O'Quinn, MSW
• Carol O'Regan
• Haley L O'Reilly, PA
• Caroline O'Rourke, CPNP
• Patrick O'Shea, P.T., D.P.T.
• Kaitlin M O'Sullivan, MD
• Kelly O'Sullivan

• Dermatology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.