Kathy J O'Connor MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27775 Issued in AZ

Legal business name

KATHY J O'CONNOR MD PA

Practice address

3700 W Highway 89a
Sedona, AZ 86336-4937

Phone

(928) 204-4944

Fax

(928) 204-4945

NPI assigned

Aug 21, 2006

Last updated

Aug 22, 2020By 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

Kathy J O'Connor, MD

Title

President/Ceo

Phone

(928) 204-4944

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356457667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1304",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863251304",
            "telephone_number": "928-204-4944",
            "fax_number": "928-204-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W HIGHWAY 89A",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364937",
            "telephone_number": "928-204-4944",
            "fax_number": "928-204-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY J O'CONNOR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "928-204-4944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480088",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.