Individual provider Active NPI

Patrick J Oconnor, PAC

  • Surgical Physician Assistant
  • Farmington, CT
National Provider Identifier
1386747145
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5601004382 Issued in MI
Practice address
263 Farmington Avenue
Farmington, CT 06030-8063
Phone
(860) 679-8080
Fax
(860) 679-1430
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9119547 FL
Surgical Physician Assistant 363AS0400X 5601004382 MI Primary

Addresses

Primary practice location

263 Farmington Avenue
Farmington, CT 06030-8063

Mailing address

263 Farmington Avenue
Farmington, CT 06030-8063
Phone (860) 679-8080

Other practice location 1

1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Phone (616) 459-7101

Other practice location 2

3350 Eagle Park Dr NE Ste 102
Grand Rapids, MI 49525-4570
Phone (616) 454-3465

Other practice location 3

21 South Road
Farmington, CT 06030-8063
Phone (860) 679-8080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address poconnor77346@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CT, FL, WI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050210000648 MI Practitioner - Physician Assistant 4385696012 Reassigns benefits to 2 organizations
I20240401002969 CT Practitioner - Physician Assistant 4385696012 Reassigns benefits to 1 organization
I20250811003194 FL Practitioner - Physician Assistant 4385696012 Reassigns benefits to 3 organizations
I20251110001251 WI Practitioner - Physician Assistant 4385696012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Neurohealth Sciences Center, LLCGroup PAC ID 3870590169, 6 clinicians
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians
Ocala Health Surgical Group LLCGroup PAC ID 4082787130, 51 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

305 N Mangoustine Ave
Suite 100
Sanford, FL 32771-1004
Phone (407) 833-7505

425 Pine Ridge Blvd
Suite 300
Wausau, WI 54401-4124
Phone (715) 847-2070

4600 SW 46TH CT
Suite 250
Ocala, FL 34474-5754
Phone (352) 291-2400

8449 SW Hwy 200
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8594WIMDProfessional Counselor
9119547FLMDPhysician Assistant

Practice roles (17 of 19)

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Nov 25, 2025 Accepting new patients
University of Connecticut Health Center CurrentSince Apr 5, 2024 Accepting new patients
Baycare Medical Group, Inc. Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
University of Connecticut Health Center CurrentSince Apr 5, 2024 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 25, 2025 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 1, 2025 Accepting new patients
The Neurohealth Sciences Center, LLC CurrentSince Oct 19, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Nov 25, 2025 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 25, 2025 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Aspirus Ontonagon Hospital, Inc. Past Accepting new patients
Great Lakes Neurosurgical Associates, PC PastSince Mar 11, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. Past Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Physician Assistant Past Accepting new patients

Locations

21 South Rd
Farmington, CT 06032
Phone (860) 679-4600

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2525 Harbor Blvd
Pt Charlotte, FL 33952
Phone (407) 833-7505

305 N Mangoustine Ave
Ste 100
Sanford, FL 32771
Phone (407) 323-7821

2727 W Mlk Blvd
Ste 460
Tampa, FL 33607
Phone (813) 879-4328

29980 Network Pl
Chicago, IL 60673

814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

425 Pine Ridge Blvd
Ste 300
Wausau, WI 54401
Phone (715) 847-0402

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: poconnor36686@direct.trinity-health.org
  • Direct secure messaging: poconnor77346@direct.med.uchc.edu
  • Direct secure messaging: poconnor155942@epic00.corewelldirect.org
  • Direct secure messaging: poconnor439805@direct.aspirus.org

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1386747145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308063",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308063",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Leffingwell Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495256406",
            "country_code": "US",
            "telephone_number": "616-459-7101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 Eagle Park Dr NE Ste 102",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495254570",
            "country_code": "US",
            "telephone_number": "616-454-3465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 South Road",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060308063",
            "country_code": "US",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9119547",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601004382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "poconnor77346@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060308063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.