Individual provider Active NPI

Thomas P O'Connell, M.D.

  • Anesthesiology Physician
  • Pensacola, FL
National Provider Identifier
1295826618
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME89336 Issued in FL
Practice address
108 S Alcaniz St
#206
Pensacola, FL 32502-6157
Phone
(850) 974-4221
NPI assigned
Sep 28, 2006
Last updated
Oct 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010226201MedicaidVA
139230OtherVATRIGON
P00265735OtherVARAILROAD MEDICARE
K142-0001OtherVACAREFIRST 2005
010165288MedicaidVA
484645OtherVANCPPO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001243 FL Practitioner - Anesthesiology 9638135494 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME89336FLMDAnesthesiology Physician
150667MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ams Baptist LLC Anesthesiology CurrentSince Jan 18, 2017 Accepting new patients
Gulf Health Hospitals, Inc. Anesthesiology CurrentSince Aug 1, 2011 Accepting new patients
Ams of Gulf Breeze LLC Anesthesiology CurrentSince Jan 18, 2017 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Aug 1, 2011 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.

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

Verify at the official NPI Registry.