Active NPI
Elizabeth Flynn O'Connor, M.D.
- Pediatrics Physician
- Boston, MA
National Provider Identifier
1124196621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 220430
- Practice address
- 1153 Centre St
Suite 31
Boston, MA 02130-3446 - Phone
- (617) 522-3100
- Fax
- (617) 522-6366
- NPI assigned
- Dec 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 220430 | MA | Primary |
Addresses
Primary practice location
1153 Centre St
Suite 31
Boston, MA 02130-3446
Mailing address
1153 Centre St
Suite 31
Boston, MA 02130-3446
Phone (617) 522-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roslindale Pediatric Associates, P.C. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- eoconnor8158@direct.chppoc.masshiway.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Boston, MA
- NPI 1578617445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1124196621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 CENTRE ST",
"address_2": "SUITE 31",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "617-522-3100",
"fax_number": "617-522-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 CENTRE ST",
"address_2": "SUITE 31",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "617-522-3100",
"fax_number": "617-522-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "ELIZABETH",
"middle_name": "FLYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "220430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
- Christine Elizabeth O'Connor, NURSE PRACTITIONER
- Clare Marie O'Connor, RN, CPNP-AC
- Colin O'Connor
- Colleen E. O'Connor, PA
- Daniel Fitzgerald O'Connor, M.D.
- Elizabeth Patrick O'Connor
- George T. O'Connor, M.D.
- Heidi Huggett O'Connor, M.D.
- John Paul Anthony O'Connor, M.D., M.R.C.P.I.
- Kaleigh O'Connor, AUD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.