NPIMap

Individual provider Active NPI

James O'Connor

  • Physician Assistant
  • Davie, FL
National Provider Identifier
1265438147
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2998 Issued in FL
Practice address
7740 Nova Dr
Suite B-4
Davie, FL 33324
Phone
(954) 634-3438
Fax
(954) 634-3437
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2998 FL Primary

Addresses

Primary practice location

7740 Nova Dr
Suite B-4
Davie, FL 33324

Mailing address

7740 Nova Dr
Suite B-4
Davie, FL 33324-5802
Phone (954) 634-3438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050125000104 FL Practitioner - Physician Assistant 4880644244 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Emergency Services of Miami Beach PA Physician Assistant CurrentSince Apr 22, 2014 Accepting new patients
FL-I Medical Services, PA Physician Assistant CurrentSince Apr 18, 2012 Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients
Spruce Pine Emergency Services PLLC Past Accepting new patients
North Ridge Emergency Physicians, PA Past Accepting new patients
Open Arms Medical Center at Past Accepting new patients
Naples Emergency Physicians LLC Physician Assistant Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Gulfstream Emergency Physicians Past Accepting new patients

Locations

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1265438147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 NOVA DR",
            "address_2": "SUITE B-4",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245802",
            "telephone_number": "954-634-3438",
            "fax_number": "954-634-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 NOVA DR",
            "address_2": "SUITE B-4",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-634-3438",
            "fax_number": "954-634-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.