NPI Code Detail JSON Logo

1013449867 NPI number — EDWARD J O'REILLY MD

NPI Number: 1013449867
Health Care Provider/Practitioner: EDWARD J O'REILLY MD

Information about “1013449867” NPI (EDWARD J O'REILLY MD) exists in 1013449867 in HTML format HTML  |  1013449867 in plain Text format TXT  |  1013449867 in PDF (Portable Document Format) PDF  |  1013449867 in an XML format XML  formats.

NPI Number : 1013449867 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013449867",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "O'REILLY",
    "FirstName": "EDWARD",
    "MiddleName": "J",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "DERRADDA HOUSE",
    "SecondLineMailingAddress": "CAVANACAW ROAD",
    "MailingAddressCityName": "ARMAGH",
    "MailingAddressStateName": "ULSTER",
    "MailingAddressPostalCode": "BT602AB",
    "MailingAddressCountryCode": "IE",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "201 CEDAR ST SE STE 306",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBUQUERQUE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87106-4932",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-224-7478",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/31/2017",
    "LastUpdateDate": "01/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208600000X",
        "TaxonomyName": "Surgery Physician",
        "LicenseNumber": "MD2024-1235",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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