LEO P O'CONNELL (NPI# 1710935168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710935168 |
Entity Type | Individual |
Full Name | LEO P O'CONNELL |
Credential | MD |
Practice Address |
704 Thimble Shoals Blvd Suite 600b Newport News VA 23606-4544 |
Practice Telephone | 7575958650 |
Practice Fax Number | 7575918651 |
Mailing Telephone | 7575958650 |
Mailing Fax Number | 7575918651 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2013-03-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 0101024069 | VA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | BLUECROSS BLUE SHIELD | 750012 | 01 |
VA | SENTARA | 54-1421280 | 01 |
VA | MEDICARE RAILROAD | 300091286 | 01 |
VA | 7241062 | 05 |
Street Address |
704 THIMBLE SHOALS BLVD SUITE 600B |
City | NEWPORT NEWS |
State | VA |
Zip Code | 23606-4544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609861038 | James C Tinsley | Family Medicine | 704 Thimble Shoals Blvd, Suite 3 700, Newport News, VA 23606-4544 | 2005-09-12 |
1477165553 | Sarah Breckinridge Wadhams | Nurse Practitioner | 704 Thimble Shoals Blvd, Newport News, VA 23606-4544 | 2020-08-19 |
1922554351 | Jenalee Nicole Shields | Physician Assistant | 704 Thimble Shoals Blvd, Suite 200, Newport News, VA 23606-4544 | 2016-08-26 |
1811370869 | Philip Gurecki | Physician Assistant | 704 Thimble Shoals Blvd, Suite 700, Newport News, VA 23606-4544 | 2015-07-08 |
1568894830 | Sarah Jenkins | Physician Assistant | 704 Thimble Shoals Blvd, Suite #200, Newport News, VA 23606-4544 | 2013-08-08 |
1659696391 | James River Eye Physicians | Optometrist | 704 Thimble Shoals Blvd, Suite 100, Newport News, VA 23606-4544 | 2010-04-06 |
1760625404 | Nicole R. Cook | Physician Assistant | 704 Thimble Shoals Blvd, Suite 600a, Newport News, VA 23606-4544 | 2009-04-10 |
1841468345 | Jo Anne Brothers | Physical Therapist | 704 Thimble Shoals Blvd, Suite 400a, Newport News, VA 23606-4544 | 2008-02-19 |
1740472646 | Maricel Lilian Ridella | Internal Medicine | 704 Thimble Shoals Blvd, Building 300a, Newport News, VA 23606 | 2007-08-14 |
1427255702 | Drs Leddy and Wilson PC | Clinic/Center | 704 Thimble Shoals Blvd, Bldg 300a, Newport News, VA 23606-4544 | 2007-06-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
Find all providers in zip 23606 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497360028 | Ann L Swanson | Specialist | 872 Garrow Rd, Newport News, VA 23608-3365 | 2020-09-10 |
1295142164 | Miranda Galliani | Specialist | 1619 Winthrope Dr, Newport News, VA 23602-9638 | 2014-07-12 |
1043579659 | Frank A Schuler IIi Md PC | Specialist | 11803 Jefferson Ave Ste 250, Newport News, VA 23606-4800 | 2012-05-16 |
1619261633 | Pmr Meds | Specialist | 48 Newmarket Square, Newport News, VA 23605 | 2011-06-07 |
1922305234 | Sandra Lee-henley | Specialist | 12255 Hornsby Ln, Newport News, VA 23602-6987 | 2011-02-23 |
1376673103 | Nicholas A Smerlis | Specialist | 860 Omni Blvd Ste 113, Newport News, VA 23606-4430 | 2007-03-07 |
1174687131 | Dewey Steele | Specialist | 12720 Mcmanus Blvd Ste 305, Newport News, VA 23602-4414 | 2006-12-21 |
1255494183 | Thomas W Clark | Specialist | 645 J Clyde Morris Blvd, Newport News, VA 23601-1819 | 2006-12-19 |
1508947342 | Peninsula Cancer Institute, LLC | Specialist | 12100 Warwick Blvd., Suite 201, Newport News, VA 23601-2365 | 2006-10-18 |
1013008309 | Peninsula Neurology Ltd | Specialist | 802 Lockwood Ave Ste A, Newport News, VA 23602-4479 | 2006-09-28 |
Find all providers in NEWPORT NEWS |
City | NEWPORT NEWS |
Zip Code | 23606 |
Please comment or provide details below to improve the information on LEO P 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.