Michael John O'Connell, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

19215 Issued in MN

Practice address

812 Paxton Rd SW
Rochester, MN 55902-6643

Phone

(507) 289-3675

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1033110259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 PAXTON RD SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559026643",
            "telephone_number": "507-289-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 PAXTON RD SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559026643",
            "telephone_number": "507-289-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MN",
            "license": "19215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018913800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily O'Brien, OT
• Erin K O'Brien, MD
• Meredith A O'Brien, APRN, CRNA
• Travis O'Brien, CRNA
• Mariah Lynn O'Connell, MSN, FNP-C
• Christina G O'Connor, PHARMD
• Kimberly O'Day, LICSW
• Sean Daniel O'Donnell, MD
• Darragh O'Donoghue, M.B., B.CH., B.A.O.
• Tara A O'Donoghue

• Medical Oncology Physician in Rochester, MN
• Providers in Rochester, MN by specialty
• Medical Oncology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.