Timothy Oconnor MD PC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

4301058216 Issued in MI

Legal business name

TIMOTHY OCONNOR MD PC

Practice address

333 Magazine St
Ste 102
Sault Sainte Marie, MI 49783-1867

Phone

(906) 253-9374

Fax

(906) 253-9002

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Oconnor, MD

Title

Medical Doctor

Phone

(906) 253-9374

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1225346281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MAGAZINE ST",
            "address_2": "STE 102",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831867",
            "telephone_number": "906-253-9374",
            "fax_number": "906-253-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAGAZINE ST",
            "address_2": "STE 102",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831867",
            "telephone_number": "906-253-9374",
            "fax_number": "906-253-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY OCONNOR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "906-253-9374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "4301058216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4249083",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharron V Thomas, LMSW
• Joseph Thompson
• Kylie Darlene Thompson
• Laura Thompson, LPC
• Randy Timbol
• Michaela Titus
• Kathryn Jean Traven, FNP
• Victoria C Traven, DPT
• Julie A Trestrail, RD
• Tri-County Home Medical Equipment & Repairs LLC

• Respite Care in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.