Kevin J O'Connell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23324 Issued in WI

Practice address

425 Wind Ridge Dr
Wausau, WI 54401-4149

Phone

(715) 675-3391

Fax

(715) 675-5255

NPI assigned

Jul 3, 2006

Last updated

Mar 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: koconnell14227@direct.aspirus.org

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.

• Aspirus Wausau Hospital, Inc.

  dba Aspirus Wausau Hospital Hospitalists

  • Clinic/Center
  • Wausau, WI
  • NPI 1922321140
  Medicare reassignment NPD
• Aspirus Medical Group, Inc.

  dba Aspirus Womens Health

  • Clinic/Center
  • Wausau, WI
  • NPI 1003021452
  Medicare reassignment
• Aspirus Medical Group, Inc.

  dba Aspirus Business Health

  • Clinic/Center
  • Wausau, WI
  • NPI 1669595294
  NPD
• Aspirus Medical Group, Inc.

  dba Aspirus Plastic Surgery & Aesthetics

  • Plastic Surgery Physician
  • Wausau, WI
  • NPI 1831544741
  NPD
• Aspirus Medical Group, Inc.

  dba Aspirus Perinatology Clinic

  • Obstetrics & Gynecology Physician
  • Wausau, WI
  • NPI 1942084199
  NPD
• Aspirus Wausau Hospital Inc

  dba Aspirus Edgar Clinic

  • Clinic/Center
  • Edgar, WI
  • NPI 1447580725
  NPD
• Aspirus Wausau Hospital, Inc.

  dba Aspirus Palliative Medicine- Wisconsin

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wausau, WI
  • NPI 1225905102
  NPD
• University of Wisconsin Medical Foundation, Inc

  • Multi-Specialty Clinic/Center
  • Middleton, WI
  • NPI 1598784555
  NPD
• Aspirus Specialist Inc.

  dba Stevens Point Orthopaedics...An Aspirus Partner

  • Medical Specialty Clinic/Center
  • Weston, WI
  • NPI 1033286711
  NPD (past)
• Aspirus Specialists, Inc.

  dba Aspirus Wausau Family Medicine

  • Multi-Specialty Clinic/Center
  • Wausau, WI
  • NPI 1790059996
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1194755702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014149",
            "telephone_number": "715-675-3391",
            "fax_number": "715-675-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "23324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NSH Applegate LLC (Applegate Terrace)
• NSH Wausau LLC
• Anselmo A Nunez, MD
• Christopher Harry Joseph Nye, MD
• Chloe Nylund, SAC
• Susan Kay O'Day, MS LPC
• Kristine O'Flyng, SAC-IT
• Kathy Lynne Obermann, ANP-BC APNP
• Daniel Karl Obermiller, MD
• Gregory Obst, MD

• Family Medicine Physician in Wausau, WI
• Providers in Wausau, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.