JOHN JOSEPH OCONNOR


Address: 3109 Clearwater Drive, Ste A, Prescott, AZ 86305
Phone: 9287781066

JOHN JOSEPH OCONNOR (NPI# 1437157203) 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) 1437157203
Entity Type Individual
Full Name JOHN JOSEPH OCONNOR
Credential MD
Practice Address 3109 Clearwater Drive
Ste A
Prescott
AZ 86305
Practice Telephone 9287781066
Practice Fax Number 9287787270
Mailing Telephone 9287781066
Mailing Fax Number 9287787270
Enumeration Date 2005-07-14
Last Update Date 2013-09-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 25148 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 379877 05

Other Providers JOHN OCONNOR

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Office Location

Street Address 3109 CLEARWATER DRIVE
STE A
City PRESCOTT
State AZ
Zip Code 86305

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1659379915 Antonio F Mendiola Jr. General Practice 1827 Greenwood Rd, Prescott, MI 48756-8626 2005-07-12
1750937868 Spectrum Healthcare Group, Inc General Practice 990 Willow Creek Rd, Prescott, AZ 86301-1640 2019-08-14
1538376918 Essential Care Family Medicine, P.C. General Practice 3111 Clearwater Dr, Suite C, Prescott, AZ 86305-7186 2007-05-16
1215044938 Margaret Shamonsky General Practice 500 N. Highway 89, Prescott, AZ 86313 2006-08-25

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Competitor

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City PRESCOTT
Zip Code 86305

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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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