TIMOTHY R O'LEARY (NPI# 1700992294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700992294 |
| Entity Type | Individual |
| Full Name | TIMOTHY R O'LEARY |
| Credential | M.D. |
| Practice Address |
1420 Us Highway 61 Festus MO 63028-4108 |
| Mailing Address |
2344 Hampton Ave Saint Louis MO 63139-2909 |
| Practice Telephone | 6369330303 |
| Practice Fax Number | 6369314818 |
| Mailing Telephone | 3146472344 |
| Mailing Fax Number | 3146475108 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
102187 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHCARE USA | 20881V12822 | 01 | |
| HEALTHLINK | 329705 | 01 | |
| MEDICARE COMPLETE | 270330 | 01 | |
| UHC | 270330 | 01 | |
| GROUP HEALTH PLAN | 27716 | 01 | |
| MO | MERCY HEALTH PLANS | F51287 | 01 |
| CMR | 3848 | 01 | |
| MO | MISSOURI BLUE SHIELD | 194361 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699831453 | Timothy Joseph O'leary | Dentist | 4292 Lake Ave, Rochester, NY 14612-4808 | 2006-12-28 |
| 1356428791 | Timothy O'leary | Optometrist | 1233 Herschel Woods Ln, Cincinnati, OH 45208-4335 | 2006-11-01 |
| 1629098272 | Timothy E O'leary | Chiropractor | 49 Central St, Peabody, MA 01960-4375 | 2006-07-19 |
| 1003899873 | Timothy Joseph O'leary | Pathology | 4755 Camp Roosevelt Drive, Chesapeake Beach, MD 20732 | 2005-11-24 |
| 1811464381 | Timothy B O'leary | Physician Assistant | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2018-11-01 |
| 1104082189 | Timothy S O'leary | Physical Therapist | 3219 Central Ave, Suite 104, Kearney, NE 68847-2949 | 2008-07-30 |
| 1285657726 | Timothy E O'leary | Physician Assistant | 1047 Glenbrook Way, Suite 120, Hendersonville, TN 37075-1231 | 2006-07-25 |
| 1669442893 | Timothy O'leary | Obstetrics & Gynecology | 207 W Gore St, Orlando, FL 32806-1008 | 2006-01-23 |
| Street Address |
1420 US HIGHWAY 61 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| 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 |
|---|---|---|---|---|
| 1639778228 | Central Care, Pa | Radiology | 1004 Carondelet Dr Ste 410, Kansas City, MO 64114-4801 | 2020-10-23 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1568721454 | Jason Matthew Edwards | Radiology | 232 S Woods Mill Rd Ste 110e, Chesterfield, MO 63017 | 2012-05-11 |
| 1649569385 | Sagar Chandravadan Patel | Radiology | 211 Saint Francis Dr Ste 372, Cape Girardeau, MO 63703-5049 | 2011-04-04 |
| 1922326958 | Yvonne Thanh-nga D Pham | Radiology | 6601 Winchester Ave Ste 230, Kansas City, MO 64133-4681 | 2010-05-14 |
| 1811158587 | Benjamin Bin Yan | Radiology | 1111 Kentucky Ave., Omc Cancer Treatment Center, West Plains, MO 65775-2028 | 2008-06-24 |
| 1336338912 | Joseph Fields | Radiology | 9 Heather Hill Ln, Saint Louis, MO 63132-4105 | 2007-10-18 |
| 1205033941 | Associates In Tumor Therapy, Chartered | Radiology | 2801 Clearwater Ct, Joplin, MO 64801-8239 | 2007-06-27 |
| 1700916848 | Bethesda Resources Inc | Radiology | 1124 N Main St, Sikeston, MO 63801-5046 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TIMOTHY R O'LEARY.
| 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.