DR. MICHAEL JOHN O'CONNELL (NPI# 1033110259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033110259 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN O'CONNELL |
| Credential | MD |
| Practice Address |
812 Paxton Rd Sw Rochester MN 55902-6643 |
| Practice Telephone | 5072893675 |
| Mailing Telephone | 5072893675 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2010-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
19215 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018913800001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729821 | Michael O'connell | Military Health Care Provider | 8201 Bardmoor Pl Apt 203d, Seminole, FL 33777-1327 | 2020-01-19 |
| 1114583721 | Michael James O'connell | Marriage & Family Therapist | 815 E 63rd Pl Ste 203, Indianapolis, IN 46220-1885 | 2019-05-20 |
| 1013055623 | Michael Francis O'connell | Psychologist | 728 Cardley Ave, Medford, OR 97504-6124 | 2007-02-03 |
| 1841237609 | Michael A O'connell | Social Worker | 16300 Mill Creek Blvd, 202, Mill Creek, WA 98012-1737 | 2006-06-01 |
| 1699736652 | Michael S O'connell | Dentist | 3226 N Miller Rd, #3, Scottsdale, AZ 85251-6930 | 2006-03-30 |
| 1447253927 | Michael Jeffrey O'connell | Nurse Practitioner | 2435 S Telshor Blvd, Las Cruces, NM 88011-5029 | 2005-05-27 |
| 1437543691 | Michael John O'connell | Physical Medicine & Rehabilitation | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2015-03-26 |
| 1093032427 | Michael James O'connell | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2010-04-25 |
| 1215172002 | Michael Francis O'connell | Pharmacy Technician | 11134 Q St, Omaha, NE 68137-3609 | 2008-12-08 |
| 1821214602 | Michael John O'connell | Dentist | 10921 Wilshire Blvd Ste 1010, Los Angeles, CA 90024-4003 | 2007-04-18 |
| Street Address |
812 PAXTON RD SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-6643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700298064 | Nabeel Jabbar Badri | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642-2709 | 2014-05-21 |
| 1427495357 | Ciara Catherine O'sullivan | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-06-01 |
| 1811330079 | Nguyen H Tran | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2013-04-08 |
| 1932475837 | Wenjia Wang | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2012-03-26 |
| 1285911586 | Highland Hospital of Rochester | Internal Medicine | 1000 South Ave, Rochester, NY 14620-2733 | 2011-11-15 |
| 1265729834 | Anastasios Dimou | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2011-07-05 |
| 1386886364 | Nayana R Kamath | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2009-04-06 |
| 1942454152 | Stephen Frytak | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-11-14 |
| 1013191733 | Erika E. Ramsdale | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2007-12-18 |
| 1881896157 | Megan Ann Baumgart | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642-3220 | 2007-05-31 |
| Find all providers in ROCHESTER | ||||
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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.