MR. MICHAEL STEPHEN O'CONNOR


Address: 3401 N Broad St, Philadelphia, PA 19140-5103
Phone: 2157075864

MR. MICHAEL STEPHEN O'CONNOR (NPI# 1134475742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134475742
Entity Type Individual
Full Name MR. MICHAEL STEPHEN O'CONNOR
Credential CRNP
Practice Address 3401 N Broad St
Philadelphia
PA 19140-5103
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Practice Telephone 2157075864
Practice Fax Number 2157076867
Mailing Telephone 2157075864
Mailing Fax Number 2157076867
Enumeration Date 2012-08-01
Last Update Date 2018-04-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP011887 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHAEL O'CONNOR

NPI Name Taxonomy Address Enumeration
1164646121 Michael T O'connor Dentist 55 Cornelia St, Plattsburgh, NY 12901-1853 2007-04-12
1396803300 Michael J. O'connor Chiropractor 1387 Carew St, Springfield, MA 01104-2123 2006-12-04
1932207727 Michael Joseph O'connor Chiropractor 801 W Granada Blvd Ste 101, Ormond Beach, FL 32174-8279 2006-09-20
1952367450 Michael J O'connor Surgery 126 6th Ave Sw, Ronan, MT 59864-2600 2006-04-24
1851812218 Michael O'connor Student in an Organized Health Care Education/Training Program 836 W Wellington Ave Ste 4800, Chicago, IL 60657-5147 2017-07-06
1215366810 Michael James O'connor Counselor 1563 N Main St, 202, Fall River, MA 02720-2983 2013-11-04
1568744134 Michael Sean O'connor Pharmacist 3003 Old Alabama Rd, Alpharetta, GA 30022-8594 2011-09-09
1962701763 Michael John O'connor Optometrist 830 County Route 64, Elmira, NY 14903-9719 2011-03-18
1578889580 Michael Glenn O'connor Pediatrics 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 2010-04-15
1649418393 Michael Patrick O'connor Occupational Therapist 1106 N Cedar St, Lansing, MI 48906-5334 2009-02-02

Office Location

Street Address 3401 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-5103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942205133 Shefali Agrawal Specialist 3401 N Broad St, Philadelphia, PA 19140-5103 2005-06-15
1962018523 Caroline Grace Kelly Audiologist 3401 N Broad St, Philadelphia, PA 19140-5189 2020-09-18
1457965964 Barbara Ohiaeri Pharmacist 3401 N Broad St, Philadelphia, PA 19140-5103 2020-09-02
1710505904 Cara Greenspan 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-14
1013535756 Srinivasa Prasad Venkata Kanuparthi Neurological Surgery 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-09
1417575143 Sakshi Gandhi Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-09
1801414594 Azka Rahman Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-08
1417574658 Anna-kaye Marie Brown Anesthesiology 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-04
1285251405 Shalonda Cook Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-03
1386261501 Temidayo Aderibigbe Orthopaedic Surgery 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1568078582 Lynell Wiggins Nurse Practitioner 1605 N 77th St, Philadelphia, PA 19151-2711 2020-09-16
1508479668 Frances Laura Israel Nurse Practitioner 1913 Lansing St, Philadelphia, PA 19111-3505 2020-08-28
1063024529 April Lee Fligor Nurse Practitioner 148 Osborn St, Philadelphia, PA 19128-3709 2020-08-17
1861010597 Brooke Brady Bell Nurse Practitioner 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 2020-07-09
1780208090 Kimberly Mae Behney Nurse Practitioner 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 2020-06-02
1811525819 Jacqueline Baker Nurse Practitioner 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 2020-03-27
1720612914 Zakiyyah Muhsin-fall Nurse Practitioner 499 N 5th St Ste A, Philadelphia, PA 19123-4005 2020-02-26
1386276152 Mercedes Harley Nurse Practitioner 4151 Robbins Ave, Philadelphia, PA 19135-3021 2020-02-10
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Competitor

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City PHILADELPHIA
Zip Code 19140

Improve Information

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Dataset Information

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.

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