DR. ANDREW W O'LEARY (NPI# 1376598995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376598995 |
| Entity Type | Individual |
| Full Name | DR. ANDREW W O'LEARY |
| Credential | D.O. |
| Practice Address |
3343 State Road 7 Wellington FL 33449-8002 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 5617959845 |
| Practice Fax Number | 5617958791 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
28120 | MS | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
OS8188 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
34006642 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016656600 | 05 | |
| FL | FREEDOM | P1034697 | 01 |
| OH | 0207207 | 05 | |
| FL | WELLCARE MEDICARE ONLY | 1242207 | 01 |
| FL | RR MEDICARE | P01560759 | 01 |
| FL | OPTIMUM | P970567 | 01 |
| OH | 2797880 | 05 | |
| FL | AETNA | 7841172 | 01 |
| FL | DIMENSION | 14361 | 01 |
| FL | AVMED | 272245 | 01 |
| FL | BCBS | 51677 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1340 Broad Ave Ste 140, Gulfport, MS 395012445 | 2285752950 |
| Street Address |
3343 STATE ROAD 7 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33449-8002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287846 | Sandra Patricia Sanchez | Surgery | 3343 State Road 7, Wellington, FL 33449-8002 | 2005-07-05 |
| 1326469685 | Sfm Oncology II | Internal Medicine | 3343 State Road 7, Wellington, FL 33449 | 2014-01-03 |
| 1861624801 | South Florida Medicine LLC | Urology | 3343 State Road 7, Wellington, FL 33449 | 2009-08-10 |
| 1295926277 | Alicia Eve Gittleman | Radiology | 3343 State Road 7, Wellington, FL 33449-8002 | 2007-08-06 |
| 1518057629 | Eugene C Shieh | Radiology | 3343 State Road 7, Wellington, FL 33449-8002 | 2006-10-13 |
| 1245229533 | Kishore Kumar Dass | Radiology | 3343 State Road 7, Wellington, FL 33449-8002 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324398 | Rachel Hoffmann | Speech-Language Pathologist | 3377 S State Rd 7, Wellington, FL 33449 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1851833958 | Caroline Pena | Acupuncturist | 3347 S State Road 7 Ste 200, Wellington, FL 33449 | 2016-11-07 |
| 1467823294 | Sophia Dionne Lyn Chinque | Nurse Practitioner | 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 | 2015-10-20 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1215223870 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 3347 State Rd 7, Suite 203, Wellington, FL 33449 | 2011-06-22 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1194987222 | Advanced Surgery Center of Palm Beach County, LLC | Clinic/Center | 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 | 2008-06-30 |
| Find all providers in zip 33449 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295926277 | Alicia Eve Gittleman | Radiology | 3343 State Road 7, Wellington, FL 33449-8002 | 2007-08-06 |
| 1518057629 | Eugene C Shieh | Radiology | 3343 State Road 7, Wellington, FL 33449-8002 | 2006-10-13 |
| 1114982717 | Claude A Harmon | Radiology | 10141 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2006-04-18 |
| 1245229533 | Kishore Kumar Dass | Radiology | 3343 State Road 7, Wellington, FL 33449-8002 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33449 |
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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.