Active NPI
Mary Beth Ann O'Hara, DO
- Pediatrics Physician
- Lewisburg, PA
National Provider Identifier
1790746576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS008495L
- Practice address
- 121 JPM Rd
Lewisburg, PA 17837-9313 - Phone
- (570) 551-0300
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS008495L | PA | Primary |
Addresses
Primary practice location
121 JPM Rd
Lewisburg, PA 17837-9313
Mailing address
121 JPM Rd
Lewisburg, PA 17837-9313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 906438 | Other | PA | HIGHMARK BLUE SHIELD |
| 001632816 0008 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482451200000",
"number": "1790746576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 JPM RD",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 JPM RD",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379313",
"telephone_number": "570-551-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'HARA",
"first_name": "MARY BETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2016-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS008495L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "906438",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001632816 0008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, PA
- Brendon R. Nolt, M.D.
- Ernest Y. Normington III, M.D.
- North Central Pennsylvania Dialysis Clinics-Lewisburg LLC
- Sharon A Novack, CRNA
- Brian Nungesser
- Krysta Joy Michael O'Neill, D.C.
- Christina E O'Rourke, LDN
- Oak Glen Healthcare and Rehabilitation Center LLC
- OB GYN Associates of Lewisburg
- Kathryn Fischer Oetjens, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.