Active NPI
Ruary Cilian O'Connell, MD
- Surgery Physician
- Covington, LA
National Provider Identifier
1285783787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 013995
- Practice address
- 101 E Fairway Dr
Suite 402
Covington, LA 70433-7503 - Phone
- (985) 892-8959
- Fax
- (985) 892-8975
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 013995 | LA | Primary |
Addresses
Primary practice location
101 E Fairway Dr
Suite 402
Covington, LA 70433-7503
Mailing address
1536 Nashville Ave
New Orleans, LA 70115-4255
Phone (504) 899-8907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1182079 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060314000021 | LA | Practitioner - General Surgery | 0042227241 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013995 | LA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1285783787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 NASHVILLE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701154255",
"telephone_number": "504-899-8907",
"fax_number": "504-897-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E FAIRWAY DR",
"address_2": "SUITE 402",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337503",
"telephone_number": "985-892-8959",
"fax_number": "985-892-8975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "RUARY",
"middle_name": "CILIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "013995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1182079",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
- Catherine Ann Nungesser
- Melanie Nuss, APRN
- Margaret Ann Nuttli, D.D.S.
- Colleen F. O'Brien, M.D.
- Nicholas Drew O'Connell, PHARM.D.
- Chrystal O'Connor
- Joseph Mounir Obeid, M.D.
- Ochsner Clinic LLC (Diabetes Prevention Program)
- Ochsner Clinic LLC (Lifestyle Nutrition - Stone Creek)
- Ochsner Clinic LLC (Ochsner Optics Covington)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.