Active NPI
Joseph Walter O'Connor, PA-C
- Physician Assistant
- Topeka, KS
National Provider Identifier
1154882454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 02234
- Practice address
- 929 SW Mulvane St
Topeka, KS 66606-1677 - Phone
- (785) 270-4100
- Fax
- (785) 270-4202
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 02234 | KS | Primary |
Addresses
Primary practice location
929 SW Mulvane St
Topeka, KS 66606-1677
Mailing address
1500 SW 10TH Ave
Medical Staff Services
Topeka, KS 66604-1301
Phone (785) 354-6241
Other practice location 1
13811 Grove Ave
Bonner Springs, KS 66012-9685
Phone (816) 729-5871
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02234 | KS | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1154882454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SW 10TH AVE",
"address_2": "MEDICAL STAFF SERVICES",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041301",
"telephone_number": "785-354-6241",
"fax_number": "785-270-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 SW MULVANE ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061677",
"telephone_number": "785-270-4100",
"fax_number": "785-270-4202"
}
],
"practiceLocations": [
{
"address_1": "13811 Grove Ave",
"address_purpose": "LOCATION",
"city": "Bonner Springs",
"state": "KS",
"postal_code": "660129685",
"country_code": "US",
"telephone_number": "816-729-5871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "JOSEPH",
"middle_name": "WALTER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "02234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.