Clinic of R L Ohalloran

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

01056809A Issued in IN

Legal business name

CLINIC OF R L OHALLORAN

Practice address

1055 Mariners Dr
Warsaw, IN 46582-9392

Phone

(574) 267-2705

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard L Ohalloran, MDNPI 1528143971

Title

Owner

Phone

(574) 267-2705

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Lewis O'Halloran, M.D.

  • Urology Physician
  • Warsaw, IL
  • NPI 1528143971
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851419295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 MARINERS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465829392",
            "telephone_number": "574-267-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 MARINERS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465829392",
            "telephone_number": "574-267-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC OF R L OHALLORAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OHALLORAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-267-2705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "01056809A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan A Ciula, PSYD, HSPP
• Meghan Ciula, EDS
• Madilynn Clabough, RBT
• Jason E Clay, APRN, NP-C
• Alysha Clemens, PT, DPT
• Dana Levon Coates, D.O.
• Charles Harold Cole, OD
• Stephanie Marie Compson, MA
• Hanna Conley
• Naomi Contreras

• Clinic/Center in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.