Organization Active NPI

John J. O'Connor MD PC

  • Surgery Physician
  • Rockville, MD
National Provider Identifier
1265603021
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0009499 Issued in MD
Legal business name
JOHN J. O'CONNOR MD PC
Practice address
11125 Rockville Pike
Suite 308
Rockville, MD 20852-3142
Phone
(301) 881-5167
Fax
(301) 881-3473
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
John J O'Connor, MD
Title
President
Phone
(301) 881-5167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X D0009499 MD Primary

Addresses

Primary practice location

11125 Rockville Pike
Suite 308
Rockville, MD 20852-3142

Mailing address

PO Box 341589
Bethesda, MD 20827-1589
Phone (301) 881-5167

National Provider Directory

National Provider Directory

Locations

11125 Rockville Pike
Ste 308
Rockville, MD 20852
Phone (301) 230-1895

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1265603021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341589",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208271589",
            "telephone_number": "301-881-5167",
            "fax_number": "301-881-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "SUITE 308",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-881-5167",
            "fax_number": "301-881-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. O'CONNOR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-881-5167",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0009499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.