B Oconnor MD a Professional Medical Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

B OCONNOR MD A PROFESSIONAL MEDICAL CORPORATION

Doing business as

ReAbility MD

Practice address

881 Dover Dr Ste 120
Newport Beach, CA 92663-6941

Phone

(949) 381-1169

Fax

(949) 520-6662

NPI assigned

Dec 19, 2022

Last updated

May 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bethany Marie Stelnicki O'Connor, MDNPI 1558517284

Title

President

Phone

(949) 381-1169

Specialties & licenses 1

Addresses

Other names 1

• ReAbility MD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bethany Marie Stelnicki O'Connor, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Newport Beach, CA
  • NPI 1558517284
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1306558507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 DOVER DR STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636941",
            "telephone_number": "949-381-1169",
            "fax_number": "949-520-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 DOVER DR STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636941",
            "telephone_number": "949-381-1169",
            "fax_number": "949-520-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B OCONNOR MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "MARIE STELNICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-381-1169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReAbility MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soheir S. Azer, DDS
• Alysa R Azimov, LMFT
• Azra Ashraf MD Professional Corporation
• B & G Medical Services
• B & G Medical Services
• Kenichi Baba, D.D.S.
• Babak N. Rad, M.D., Inc.
• Babak Pezeshki, M.D., a Professional Corporation
• Vivek Babaria, D.O.
• Maxine Kay Babazadeh, M.P.T

• Physical Medicine & Rehabilitation Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.