Active NPI
Thomas P O'Connell, M.D.
- Anesthesiology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME89336
- Practice address
- 108 S Alcaniz St
#206
Pensacola, FL 32502-6157 - Phone
- (850) 974-4221
- NPI assigned
- Sep 28, 2006
- Last updated
- Oct 5, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 150667 | MA | |
| Anesthesiology Physician | 207L00000X | ME89336 | FL | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 0101237040 | VA |
Addresses
Primary practice location
108 S Alcaniz St
#206
Pensacola, FL 32502-6157
Mailing address
108 S Alcaniz St
#206
Pensacola, FL 32502-6157
Phone (850) 974-4221
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010226201 | Medicaid | VA | |
| 139230 | Other | VA | TRIGON |
| P00265735 | Other | VA | RAILROAD MEDICARE |
| K142-0001 | Other | VA | CAREFIRST 2005 |
| 010165288 | Medicaid | VA | |
| 484645 | Other | VA | NCPPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME89336 | FL | MD | Anesthesiology Physician |
| 150667 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Baptist LLC | Anesthesiology | Current | Accepting new patients |
| Gulf Health Hospitals, Inc. | Anesthesiology | Current | Accepting new patients |
| Ams of Gulf Breeze LLC | Anesthesiology | Current | Accepting new patients |
| Gulf Health Hospitals, Inc. | Current | Accepting new patients | |
| Anesthesia Health Care Partners of Florida Inc | Anesthesiology | Past | Accepting new patients |
| North American Partners in Anesthesia (Virginia), LLC | Anesthesiology | Past | Accepting new patients |
Locations
1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553
1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
-
dba North Baldwin Infirmary
- General Acute Care Hospital
- Bay Minette, AL
- NPI 1134164924
Anesthesiology
-
dba NBI Home Infusion Pharmacy
- Home Infusion Therapy Pharmacy
- Daphne, AL
- NPI 1679347561
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1518915545
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1922031442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1295826618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S ALCANIZ ST",
"address_2": "#206",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325026157",
"telephone_number": "850-974-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S ALCANIZ ST",
"address_2": "#206",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325026157",
"telephone_number": "850-974-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "THOMAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "150667",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME89336",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VA",
"license": "0101237040",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010226201",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON",
"identifier": "139230",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00265735",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST 2005",
"identifier": "K142-0001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010165288",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "484645",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.