Individual provider Active NPI

Charles J O'Hearn, M.D.

  • Emergency Medicine Physician
  • Coppell, TX
National Provider Identifier
1942321898
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H5676 Issued in TX
Practice address
651 N Denton Tap Rd
100
Coppell, TX 75019-2007
Phone
(972) 899-7000
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H5676 TX Primary

Addresses

Primary practice location

651 N Denton Tap Rd
100
Coppell, TX 75019-2007

Mailing address

929 Deforest Rd
Coppell, TX 75019-2740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141122000132 TX Practitioner - Emergency Medicine 9830411156 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Ess of Port Lavaca LLC Emergency Medicine CurrentSince Mar 11, 2017 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Ess of Nacogdoches LLC Emergency Medicine CurrentSince Sep 15, 2016 Accepting new patients
Fisher County Hospital District Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Emergency Staffing Solutions of West Texas LLC Emergency Medicine CurrentSince Jun 18, 2016 Accepting new patients
Ess of South Texas LLC Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Fisher County Hospital District CurrentSince Mar 1, 2023 Accepting new patients
Sugarland Emergency Physicians PA Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Ector County Hospital District Past Accepting new patients
First Street Hospital, LP Past Accepting new patients
Ector County Hospital District Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

9000 Westheimer Rd
Houston, TX 77063
Phone (713) 343-0911

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

920 Hillcrest Dr
Vernon, TX 76384
Phone (940) 552-9351

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942321898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 DEFOREST RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N DENTON TAP RD",
            "address_2": "100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192007",
            "telephone_number": "972-899-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HEARN",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.