KEVIN J O'CONNELL (NPI# 1295703858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295703858 |
| Entity Type | Individual |
| Full Name | KEVIN J O'CONNELL |
| Credential | MD |
| Practice Address |
911 E 20th St Ste 501 Sioux Falls SD 57105-1047 |
| Mailing Address |
Po Box 5126 Sioux Falls SD 57117-5126 |
| Practice Telephone | 6053228275 |
| Practice Fax Number | 6053739971 |
| Mailing Telephone | 6053351952 |
| Mailing Fax Number | 6053739971 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2013-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 4812 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7500013 | 05 | |
| SD | BCBS | 4995650 | 01 |
| IA | 2535880 | 05 | |
| MN | 963105400 | 05 | |
| CA | XPY202981 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469477 | Kevin William O'connell | Physician Assistant | 325 Cedar Ridge Dr, Glastonbury, CT 06033-1817 | 2019-10-19 |
| 1841704285 | Kevin Bryon O'connell | Massage Therapist | 370 Middletown Blvd Ste 508, Langhorne, PA 19047-1840 | 2017-11-21 |
| 1710012497 | Kevin M O'connell | Dentist | 149-4 East Main Street, Clinton, CT 06413 | 2007-02-22 |
| 1588701791 | Kevin James O'connell | Counselor | 16 Bayview Rd, Durham, NH 03824-2406 | 2007-01-30 |
| 1639141807 | Kevin M O'connell | Emergency Medicine | 7102 Mineral Point Road, Madison, WI 53717-1706 | 2006-02-02 |
| 1245554971 | Kevin M O'connell | Occupational Therapist | 635 Belle Terre Rd, Suite 105, Port Jefferson, NY 11777-1935 | 2010-03-24 |
| 1720262686 | Kevin A. O'connell | Otolaryngology | 400 N Main St, Warsaw, NY 14569-1025 | 2007-12-27 |
| 1194755702 | Kevin J O'connell | Family Medicine | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2006-07-03 |
| 1396705950 | Kevin J O'connell | Dentist | 1100 Tunnel Rd, Attn Dental Clinic, Asheville, NC 28805-2043 | 2006-03-27 |
| 1447225941 | Kevin P. O'connell | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-02-20 |
| Street Address |
911 E 20TH ST STE 501 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750332110 | Robert K Dahl | Surgery | 911 E 20th St Ste 501, Sioux Falls, SD 57105-1047 | 2006-05-12 |
| 1487686952 | Central Plains Surgical Ltd | Surgery | 911 E 20th St Ste 501, Sioux Falls, SD 57105-1047 | 2006-07-07 |
| 1184654873 | Urology Institute PC | Urology | 911 E 20th St Ste 501, Sioux Falls, SD 57105-1047 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275654782 | Eugene S Park | Urology | 201 W 69th Street, Sioux Falls, SD 57108-2424 | 2007-04-02 |
| 1386692291 | Robert C Johnson | Urology | 1200 S Euclid Ave, Ste # 212, Sioux Falls, SD 57105-7703 | 2006-05-04 |
| 1588612469 | Janet E Smith | Urology | 1700 S Minnesota Ave, Sioux Falls, SD 57105-1723 | 2006-05-04 |
| 1245619543 | Dennis Thum | Urology | 201 W 69th St, Sioux Falls, SD 57108 | 2015-05-20 |
| 1780022921 | Lauren Wood Thum | Urology | 201 W 69th St, Sioux Falls, SD 57108 | 2013-06-10 |
| 1295901460 | Nathan Andrew Bockholt | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2008-05-07 |
| 1558542738 | Kurt Eeg | Urology | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2007-11-16 |
| 1548478118 | David Charles Arend | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2007-05-18 |
| 1912121229 | Brian David Lindaman | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2007-04-11 |
| 1831265727 | Sanford Clinic | Urology | 1201 S Euclid Ave, Suite 201, Sioux Falls, SD 57105-7700 | 2006-11-24 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on KEVIN J O'CONNELL.
| 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.