DR. KATHLEEN ANN O'LEARY (NPI# 1366521684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366521684 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN ANN O'LEARY |
| Credential | M.D. |
| Practice Address |
164 Waccamaw Medical Park Dr Conway SC 29526-8903 |
| Mailing Address |
525 Lafayette Cir Georgetown SC 29440-2569 |
| Practice Telephone | 8433475060 |
| Mailing Telephone | 8435466107 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 055412 | GA | Other Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
24236 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 327877 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932493483 | Kathleen Margaret O'leary | Physical Therapy Assistant | 1830 W 28th St, Apt 8, Cleveland, OH 44113-3064 | 2011-06-01 |
| 1124635974 | Kathleen Gen O'leary | Behavioral Analyst | Na, Oak Lawn, IL 60453 | 2020-09-25 |
| 1699268938 | Kathleen Elizabeth O'leary | Student in an Organized Health Care Education/Training Program | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2018-06-12 |
| 1790072650 | Kathleen P O'leary | Optometrist | 10 Lincoln Sq, Worcester, MA 01608-1135 | 2011-06-29 |
| 1720250764 | Kathleen Gill O'leary | Nurse Practitioner | 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 | 2008-03-31 |
| 1275718199 | Kathleen Terrell O'leary | Counselor | 23 S Wenatchee Ave Ste 320, Wenatchee, WA 98801-2263 | 2008-01-09 |
| 1508979287 | Kathleen Mary O'leary | Nurse Anesthetist, Certified Registered | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 | 2006-08-16 |
| 1164497673 | Kathleen Maria O'leary | Obstetrics & Gynecology | 4881 Sugar Maple Dr, Wright-patterson Medical Center, Women's Health Clinic, Wright Pat, OH 45433-5529 | 2006-02-18 |
| 1437139532 | Kathleen M O'leary | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2006-01-17 |
| 1407847825 | Kathleen A O'leary | Anesthesiology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2005-11-03 |
| Street Address |
164 WACCAMAW MEDICAL PARK DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370021 | Kurt Klauburg | Psychiatry & Neurology | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2005-07-19 |
| 1740881242 | Tracey Buster | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-11-03 |
| 1417557471 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-10-29 |
| 1427676907 | Leslie Ethridge Barnes | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-07-10 |
| 1043849151 | Juleian Edwards | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-04-02 |
| 1942835202 | Rachel Anne Hemingway | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-03-06 |
| 1912530221 | Matthew John Beauchemin | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-14 |
| 1114559085 | Jeffrey N. Osborne | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-10 |
| 1790317006 | Joshawna April Mcabee | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-05 |
| 1922639343 | Lorie A Matthews | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1750483699 | Raymond H Clark | Psychiatry & Neurology | 5330 Plantation Cv, Conway, AR 72034-8586 | 2006-09-01 |
| 1801876446 | Daniel Pistone Md Pa | Psychiatry & Neurology | 3185 Wildhorse Dr, Conway, SC 29526-7817 | 2006-01-19 |
| 1659370021 | Kurt Klauburg | Psychiatry & Neurology | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2005-07-19 |
| 1548603764 | Michael Conrad Dennis | Psychiatry & Neurology | 1520 E Dave Ward Dr, Conway, AR 72032-9649 | 2013-04-08 |
| 1972808145 | Conway Psychiatric Clinic, Pllc | Psychiatry & Neurology | 5330 Plantation Cv, Conway, AR 72034-8586 | 2011-01-20 |
| 1841513223 | Jackie Coombe-moore Pa | Psychiatry & Neurology | 680 Hogan Ln, Conway, AR 72034-8131 | 2010-03-12 |
| 1205090933 | Olga Victa | Psychiatry & Neurology | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2008-07-11 |
| 1407063068 | Karen Young Md.pa | Psychiatry & Neurology | 2302 College Ave, Conway, AR 72034-6297 | 2007-05-16 |
| 1871718890 | Jennifer Middleton | Psychiatry & Neurology | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2007-04-16 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.