Active NPI
Bonnie O Oconnor, PA C
- Surgical Physician Assistant
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 4745 Ogletown Stanton Rd
Suite 225
Newark, DE 19713 - Phone
- (302) 731-2888
- Fax
- (302) 731-7049
- NPI assigned
- Jan 18, 2006
- Last updated
- Apr 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C50000144 | DE | |
| Surgical Physician Assistant | 363AS0400X | NU | Primary |
Addresses
Primary practice location
4745 Ogletown Stanton Rd
Suite 225
Newark, DE 19713
Mailing address
4745 Ogletown Stanton Rd
Suite 225
Newark, DE 19713
Phone (302) 731-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000499843 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4102 Ogletown Stanton Rd
Suite B
Newark, DE 19713-4183
Phone (302) 731-2888
4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 731-2888
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.8 of 100
- Quality
- 96
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50000144 | DE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First State Orthopaedics, PA | Current | Accepting new patients | |
| Spine Care Delaware, LLC | Current | Accepting new patients | |
| First State Orthopaedics PA | Current | Accepting new patients |
Locations
211 Executive Dr
Ste 11
Newark, DE 19702
Phone (302) 793-1800
4102 Stanton Ogletown Rd
Ste B
Newark, DE 19713
Phone (302) 894-1800
4106 Ogletown Stanton Rd
Newark, DE 19713
Phone (302) 894-1600
4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713
4745 Stanton Ogletown Rd
Ste 225
Newark, DE 19713
Phone 30273128881001
Interoperability endpoints
- bonnie.oconnorpac.p1@direct.fsoortho.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Orthopaedic Associates of Southern Delaware
- Orthopaedic Surgery Physician
- Lewes, DE
- NPI 1184681488
-
- Ambulatory Surgical Clinic/Center
- Newark, DE
- NPI 1407836315
-
- Orthopaedic Surgery Physician
- Newark, DE
- NPI 1346220266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1033199948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD",
"address_2": "SUITE 225",
"city": "NEWARK",
"state": "DE",
"postal_code": "19713",
"telephone_number": "302-731-2888",
"fax_number": "302-731-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD",
"address_2": "SUITE 225",
"city": "NEWARK",
"state": "DE",
"postal_code": "19713",
"telephone_number": "302-731-2888",
"fax_number": "302-731-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "BONNIE",
"middle_name": "O",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C50000144",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000499843",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
- Ijeoma Obizoba, MD
- Occupational Health Centers of Delaware, P.a. (Concentra medical Centers)
- Occupational Health Centers of Delaware, P.a. (Concentra Medical Center)
- Occupational Health Services of Delaware LLC
- Ocean Breeze Home Health Care Inc
- Nicole Oddo, PT, DPT
- Alex Oei, DO
- Marie Oettel
- Rachael Ofili, NP-C
- Sean M Ogden, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.