Active NPI
William Francis O'Connell, M.D.
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1376539882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD0033660E
- Practice address
- 2623 E Allegheny Ave
Philadelphia, PA 19134-5131 - Phone
- (215) 423-2030
- Fax
- (215) 423-2344
- NPI assigned
- Sep 21, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD0033660E | PA | Primary |
Addresses
Primary practice location
2623 E Allegheny Ave
Philadelphia, PA 19134-5131
Mailing address
2623 E Allegheny Ave
Philadelphia, PA 19134-5131
Phone (215) 423-2030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0033660E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1376539882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 E ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191345131",
"telephone_number": "215-423-2030",
"fax_number": "215-423-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 E ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191345131",
"telephone_number": "215-423-2030",
"fax_number": "215-423-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "WILLIAM",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD0033660E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.