Individual
DAVID JOHN O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 ESTILL ST, 3RD FL, BEREA, KY 40403-1742
(859) 986-6775
(859) 986-6512
Mailing address
100 EAST LIBERTY STREET. SUITE 800, LOUISVILLE, KY 40202-1434
(859) 986-6675
(859) 276-5939
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
29105
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060063337
RR MEDICARE PIN
—
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64291057
—
KY
01
—
CB5773
RR MEDICARE GROUP
—
Enumeration date
07/18/2006
Last updated
05/20/2015
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