DR. TIMOTHY ALLEN O'CONNOR (NPI# 1215016621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215016621 |
Entity Type | Individual |
Full Name | DR. TIMOTHY ALLEN O'CONNOR |
Credential | M.D. |
Practice Address |
1600 E Broadway Columbia MO 65201-5844 |
Mailing Address |
Po Box 10200 Columbia MO 65205-4003 |
Practice Telephone | 5738153600 |
Practice Fax Number | 5738153716 |
Mailing Telephone | 5738159700 |
Mailing Fax Number | 5738150700 |
Enumeration Date | 2006-11-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
R9H49 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HEALTHLINK PIN | 289639 | 01 | |
HEALTHCARE USA PIN | 3837 | 01 | |
MO | ANTHEM BCBS PIN | 106571 | 01 |
CAQH PROVIDER ID | 10894794 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972909463 | Timothy P O'connor | Counselor | 3065 Mt. Herman Rd., Monument, CO 80132 | 2014-11-10 |
1437578523 | Timothy Dennis O'connor | Student in an Organized Health Care Education/Training Program | 3111 Saunders Settlement Rd, Sanborn, NY 14132-9506 | 2014-04-16 |
1427339977 | Timothy O'connor | Pharmacist | 1401 S Main Street, Ferndale, WA 98248-4060 | 2011-08-29 |
1558404566 | Timothy Jon O'connor | Dentist | 300 Tom Bell Rd, Murphys, CA 95247 | 2007-02-15 |
1417028671 | Timothy J O'connor | Chiropractor | 4914 Atlanta Hwy, Alpharetta, GA 30004-2921 | 2006-11-10 |
1548362072 | Timothy J O'connor | Chiropractor | 2021 S Oneida St, Appleton, WI 54915-4945 | 2006-09-04 |
1639708290 | Timothy Edward O'connor | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-06 |
1689212334 | Timothy Jordan O'connor | Physical Therapist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-12-12 |
1023575636 | Timothy O'connor | Physical Therapist | 28 Farview Ter, Paramus, NJ 07652-2740 | 2019-03-01 |
1285081711 | Timothy J O'connor | Psychiatry & Neurology | 4220 Apex Hwy Ste 200, Durham, NC 27713-5295 | 2016-05-13 |
Street Address |
1600 E BROADWAY |
City | COLUMBIA |
State | MO |
Zip Code | 65201-5844 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134124266 | Randall E Mueller | Emergency Medicine | 1600 E Broadway, Columbia, MO 65201-5844 | 2005-06-15 |
1154939056 | Ch Allied Services, Inc. | Clinical Medical Laboratory | 1600 E Broadway, Columbia, MO 65201-5844 | 2020-07-16 |
1508482407 | Taylor Frymire | Nurse Anesthetist, Certified Registered | 1600 E Broadway, Columbia, MO 65201-5844 | 2020-06-17 |
1609405786 | Terrissa Marie Neimeyer | Registered Nurse | 1600 E Broadway, Columbia, MO 65201-5844 | 2020-04-02 |
1659906345 | Mary F Linneman | Dietitian, Registered | 1600 E Broadway, Columbia, MO 65201-5844 | 2020-03-03 |
1689219479 | Katie A Shelton | Dietitian, Registered | 1600 E Broadway, Columbia, MO 65201-5897 | 2019-11-15 |
1003459280 | Laura Grace Mcdermott | Dietitian, Registered | 1600 E Broadway, Columbia, MO 65201-5844 | 2019-10-21 |
1518517515 | Victoria Knecht Copeland | Dietitian, Registered | 1600 E Broadway, Columbia, MO 65201-5844 | 2019-09-12 |
1811546559 | Elias Kiptoo Melly | Nurse Anesthetist, Certified Registered | 1600 E Broadway, Columbia, MO 65201-5844 | 2019-09-05 |
1023664562 | Rebekah Bail | Nurse Practitioner | 1600 E Broadway, Columbia, MO 65201-5844 | 2019-08-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
Find all providers in zip 65201 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750328936 | Uma M Amarnath | Pediatrics | Palmetto Health Richland Hospital, Lexington Medical Center, Columbia, SC 29203-6849 | 2006-05-31 |
1245207711 | Victor Norbert Iskersky | Pediatrics | 5 Medical Park, Palmetto Health Richland, Columbia, SC 29203 | 2006-03-03 |
1760962385 | Kisha Marie Linwood | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2018-08-14 |
1619288594 | Anjali Patel Anders | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2010-06-25 |
1649408261 | Amber S Ratliff | Pediatrics | 404 N Keene St, Columbia, MO 65201 | 2009-06-23 |
1053546564 | Zankhana Master Desai | Pediatrics | 404 N Keene St, Columbia, MO 65201 | 2009-05-28 |
1497918817 | Manika Sharma | Pediatrics | 1333 Taylor St, Suite 6a, Columbia, SC 29201-2923 | 2008-07-07 |
1518097989 | Nadeem A Hashmi | Pediatrics | 11085 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2983 | 2007-03-06 |
1083781363 | Laura Anne Valleni | Pediatrics | 5 Richland Medical Park Dr, Columbia, SC 29203 | 2006-11-29 |
1831269695 | Mid-missouri Neonatology LLC | Pediatrics | 1600 E Broadway, Columbia, MO 65201-5844 | 2006-11-09 |
Find all providers in COLUMBIA |
Please comment or provide details below to improve the information on DR. TIMOTHY ALLEN O'CONNOR.
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.