MICHAEL D O'CONNOR (NPI# 1407883622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407883622 |
| Entity Type | Individual |
| Full Name | MICHAEL D O'CONNOR |
| Credential | MD |
| Practice Address |
5701 Delmar Blvd. St. Louis MO 63112-0937 |
| Practice Telephone | 3143677848 |
| Practice Fax Number | 3143675608 |
| Mailing Telephone | 3143677848 |
| Mailing Fax Number | 3143675608 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 105801 | MO | Allopathic & Osteopathic Physicians |
| 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 |
| 1134475742 | Michael Stephen O'connor | Nurse Practitioner | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2012-08-01 |
| 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 |
| Street Address |
5701 DELMAR BLVD. |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63112-0937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346542487 | Ramona Edwards | Social Worker | 5701 Delmar Blvd., St. Louis, MO 63112-2617 | 2010-11-23 |
| 1427167576 | Morris Joftus | Internal Medicine | 5701 Delmar Blvd., St. Louis, MO 63311-2617 | 2006-08-30 |
| 1255447090 | Kirk A Washington | Dentist | 5701 Delmar Blvd., St. Louis, MO 63112-0937 | 2006-08-22 |
| 1578678652 | Linda F Tobias | Nurse Practitioner | 5701 Delmar Blvd., St. Louis, MO 63112-0937 | 2006-08-20 |
| 1659485407 | Karen J Richardson | Dentist | 5701 Delmar Blvd., St. Louis, MO 63112-0937 | 2006-08-18 |
| 1245344944 | Patricia Chandler | Nurse Practitioner | 5701 Delmar Blvd., St. Louis, MO 63112-0937 | 2006-08-18 |
| 1922038660 | Nillima Nellie Ghosh | Internal Medicine | 5701 Delmar Blvd., St. Louis, MO 63112-0937 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1215402011 | Ayse Bahar Budan Caliskan | Pediatrics | Washington University, St. Louis Children's Hospital, One Children's Place, 4n1, St. Louis, MO 63110-1002 | 2018-10-08 |
| 1861987521 | Miranda Lyn Edmunds | Pediatrics | One Children's Place 3s34, St. Louis, MO 63110 | 2018-06-26 |
| 1013402924 | Caroline Kellagher Noel | Pediatrics | St. Louis Children's Hospital, 3s34, One Children's Place, St. Louis, MO 63110 | 2018-06-25 |
| 1063770949 | Margaret Mary Keane | Pediatrics | 1465 South Grand Boulevard, Room 1204, Ssm Cardinal Glennon Children's Medical Center, St. Louis, MO 63104 | 2012-04-27 |
| 1457620916 | Gerald Wool | Pediatrics | 731 Oakbrook Lane, St. Louis, MO 63132-4936 | 2011-12-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1245469311 | Henry Leroy Knock | Pediatrics | 405 Lennore Ave., St. Louis, MO 63122 | 2009-07-09 |
| 1841432796 | Fahd Aqeeb Ahmad | Pediatrics | #1 Children's Place, St. Louis Children's Hospital, St. Louis, MO 63110 | 2009-03-24 |
| 1043413842 | Kristen M Mennemeier | Pediatrics | 3009 N. Ballas Rd., Suite 257c, St. Louis, MO 63131-2308 | 2007-06-08 |
| 1821218637 | Lisa Marie Schrock | Pediatrics | 1465 South Grand Blvd. Ssm Glennon Care -, Cardinal Glennon Children's Medical Center, St. Louis, MO 63104-1095 | 2007-04-26 |
| Find all providers in ST. LOUIS | ||||
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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.