DR. BRIAN O'CONNOR (NPI# 1174515050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174515050 |
| Entity Type | Individual |
| Full Name | DR. BRIAN O'CONNOR |
| Credential | MD |
| Practice Address |
1562 Opossumtown Pike Frederick MD 21702-4337 |
| Mailing Address |
Po Box 37086 Baltimore MD 21297-3086 |
| Practice Telephone | 3016628477 |
| Mailing Telephone | 2404398733 |
| Mailing Fax Number | 2404398910 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
D0031761 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
D31761 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST BCBS GHMSI | W575-0002 | 01 | |
| UNITED | 971641 | 01 | |
| AETNA PVN | 28658979 | 01 | |
| CAREFIRST BCBS MARYLAND | 523014-01 | 01 | |
| MD | 81961100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 W 7th St, Suite 1a, Frederick, MD 217014507 | 3016628477 | 3016624293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366487928 | Brian L O'connor | Contractor | 3232 E Bluebird Pl, Chandler, AZ 85286-5633 | 2006-06-18 |
| 1588228290 | Brian O'connor | Counselor | 800 N Main St, Malta, OH 43758-9019 | 2019-04-29 |
| 1255861092 | Brian O'connor | Specialist/Technologist | 5210 Grand Ave, Fort Smith, AR 72913 | 2017-06-14 |
| 1487087615 | Brian P O'connor II | Internal Medicine | 1220 Rossmoor Parkway, Walnut Creek, CA 94595-2501 | 2013-08-12 |
| 1760549828 | Brian Daniel O'connor | Counselor | 4700 Point Fosdick Dr Nw, Ste. 302, Gig Harbor, WA 98335-1706 | 2007-01-01 |
| 1447314240 | Brian T O'connor | Internal Medicine | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2006-12-19 |
| 1710092861 | Brian Joseph O'connor | Physician Assistant | 2555 Court Dr, Suite 200, Gastonia, NC 28054-2134 | 2006-08-20 |
| 1275647216 | Brian Kevin O'connor | Pediatrics | 375 Mount Pleasant Ave, West Orange, NJ 07052-2724 | 2006-08-18 |
| Street Address |
1562 OPOSSUMTOWN PIKE |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600771 | Frederick Health Hospital Inc | Neuromusculoskeletal Medicine & OMM | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2005-06-27 |
| 1508428103 | Constance Maria Derosa | Nurse Practitioner | 1562 Opossumtown Pike, Frederick, MD 21702-4920 | 2019-07-03 |
| 1659899979 | Frederick Health Medical Group LLC | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2017-09-07 |
| 1548641483 | Jeanette M Brennan | Occupational Therapist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2015-06-16 |
| 1497142913 | Catherine Anne Bender | Speech-Language Pathologist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2015-04-22 |
| 1134537467 | Leslie Crawford | Occupational Therapist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2014-07-30 |
| 1730597519 | Amanda K. Dean | Speech-Language Pathologist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2014-07-24 |
| 1013336114 | Ingrid Halvorson | Nurse Practitioner | 1562 Opossumtown Pike, Frederick, MD 21702 | 2014-04-16 |
| 1922434067 | Frederick Memorial Hospital Inc | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-09-20 |
| 1891134466 | Natalia Marina | Internal Medicine | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| 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 |
|---|---|---|---|---|
| 1063780633 | Frederick Health Medical Group LLC | Internal Medicine | 1562 Opossumtown Pike Ste 102, Frederick, MD 21702-4337 | 2011-12-09 |
| 1659688703 | Stephen Paul Creekmore | Internal Medicine | 9012 Mountainberry Ct, Frederick, MD 21702-3404 | 2010-09-10 |
| 1851939052 | Frederick Health Medical Group LLC | Internal Medicine | 1562 Opossumtown Pike Ste 103, Frederick, MD 21702-4337 | 2019-12-18 |
| 1013931526 | Patrick Johannes Mansky | Internal Medicine | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661760 | Wendeline Wagner | Internal Medicine | 1330 Piccard Dr, Rockville, MD 20850-4330 | 2020-05-20 |
| 1306497474 | Michaele C Christian | Internal Medicine | 9609 Medical Center, Bethesda, MD 20892-0001 | 2019-09-20 |
| 1568927911 | Kekule Asgari | Internal Medicine | 11404 Channing Dr, Silver Spring, MD 20902-2906 | 2019-02-08 |
| 1811474851 | Jaqueline Whang-peng | Internal Medicine | 6812 Tilden Ln, Rockville, MD 20852-4501 | 2018-07-23 |
| 1134616873 | Christian Rolfo | Internal Medicine | 22 S Greene St # S9d, Baltimore, MD 21201-1591 | 2018-04-18 |
| 1992215073 | Ramya Ramaswami | Internal Medicine | Ccr 10 Center Drive Room 6n110, Bethesda, MD 20892-0001 | 2017-10-03 |
| 1104353374 | Cancer and Blood Disorders Treatment Center LLC | Internal Medicine | 3200 Crain Hwy Ste 302, Waldorf, MD 20603-4843 | 2017-05-17 |
| 1063947133 | Robert M. White Jr. | Internal Medicine | 12054 Eaglewood Ct, Silver Spring, MD 20902-1876 | 2017-04-26 |
| 1851718928 | Edwin Rock | Internal Medicine | 5518 Lincoln St, Bethesda, MD 20817-3724 | 2014-03-26 |
| 1447699681 | Paz Joan Vellanki | Internal Medicine | 10903 New Hampshire Ave Rm 2181, Silver Spring, MD 20993-0001 | 2013-06-20 |
| Find all providers with the same taxonomy | ||||
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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.