KATHLEEN KENNY O'CONNELL (NPI# 1972626562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972626562 |
| Entity Type | Individual |
| Full Name | KATHLEEN KENNY O'CONNELL |
| Credential | PA-C |
| Practice Address |
5201 Harry Hines Blvd Medical Staff Services Dallas TX 75235-7708 |
| Mailing Address |
Po Box 660599 Dallas TX 75266-0599 |
| Practice Telephone | 2145908006 |
| Mailing Telephone | 2145904105 |
| Mailing Fax Number | 2145904162 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA03442 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8B1732 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346592862 | Kathleen Mary O'connell | Internal Medicine | 9 Stonecrop Ln, Wilton, CT 06897-2405 | 2012-10-08 |
| 1295953404 | Kathleen Ann O'connell | Specialist/Technologist | 975 Bascom Mall, Suite 4311, Madison, WI 53706-1399 | 2007-04-23 |
| 1952411928 | Kathleen Ann O'connell | Physician Assistant | 1445 Portland Avenue, Suite 108, Rochester, NY 14621 | 2006-08-30 |
| 1669473435 | Kathleen Jo O'connell | Podiatrist | 246 W Main St, #5, Malone, NY 12953-1747 | 2005-08-03 |
| 1851870364 | Kathleen O'connell | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-08-07 |
| 1083089734 | Kathleen O'connell | Counselor | 680 American Ave, Suite 302, King of Prussia, PA 19406-4023 | 2015-12-07 |
| 1790001071 | Kathleen Marie O'connell | Surgery | 325 9th Ave, Seattle, WA 98104 | 2010-04-12 |
| Street Address |
5201 HARRY HINES BLVD MEDICAL STAFF SERVICES |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004449 | Polly Bennett Cordova | Advanced Practice Midwife | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2005-06-21 |
| 1316580368 | Natashea Lewis | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7793 | 2019-10-22 |
| 1386285328 | Eva Kirara | Registered Nurse | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-10-01 |
| 1003467879 | Sunny Akwo Makolo | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7793 | 2019-09-24 |
| 1396303236 | Alexandra D'oto | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-06-05 |
| 1154883072 | Patrick Ahern | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-04-01 |
| 1609337153 | Gianpaolo Carpinito | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-03-27 |
| 1104397827 | Danielle Theresa Brown | Physical Therapist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-12-06 |
| 1992274948 | Carol Chamberlain | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-11-20 |
| 1730657875 | Paul Tran | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1225643562 | Yermiahu Levi Sarne | Physician Assistant | 6206 Preston Crest Ln, Dallas, TX 75230-1828 | 2020-09-14 |
| 1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
| 1275151102 | Kelly Ashworth | Physician Assistant | 7331 Gaston Ave # 180, Dallas, TX 75214-4131 | 2020-07-07 |
| 1780201715 | Gabriela Yvonne Camacho | Physician Assistant | 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 | 2020-06-25 |
| 1346879699 | Ws Neuroassist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 | 2020-04-07 |
| 1265065122 | Sarah Bell Stewart | Physician Assistant | 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 | 2020-02-19 |
| 1093348237 | Meagan Lee Barry | Physician Assistant | 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 | 2020-02-17 |
| 1245863554 | Melissa Ann Johnston | Physician Assistant | 4373 Boca Bay Dr, Dallas, TX 75244-7408 | 2020-02-14 |
| 1205479607 | Mj Surgical, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 | 2019-10-18 |
| Find all providers in DALLAS | ||||
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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.