Dr. Dorene Anne O'Hara, MD
Clinic/Center, Ambulatory Surgical in Reston, VA. Individual provider (NPI-1).
NPI number1679656607
StatusActive
Last updated in NPPESSep 16, 2013
Details
- NPI
- 1679656607
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dorene Anne O'Hara
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2006
- Last updated
- Sep 16, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 0101240686 | VA | Yes |
| 207L00000X | Anesthesiology | 048518 | NJ |
Practice location
1734 Seagull CtApt. 402
Reston, VA 20194-4307
Phone 732-423-8533 · Fax 571-313-0523
Mailing address
1734 Seagull CtApt. 402
Reston, VA 20194-4307
Phone 732-423-8533 · Fax 571-313-0523
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Ambulatory Surgical Clinic/Center providers in Reston, VA
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All 5 Ambulatory Surgical Clinic/Center providers in Reston · All 2,193 providers in Reston
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