Individual provider Active NPI

Mary Kay O'Conor, MRI(MR)

  • Magnetic Resonance Imaging Radiologic Technologist
  • St Marys, PA
National Provider Identifier
1427261098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
139242 Issued in PA
Practice address
346 Church St
St Marys, PA 15857
Phone
(412) 559-3821
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X 139242 PA Primary

Addresses

Primary practice location

346 Church St
St Marys, PA 15857

Mailing address

346 Church St
St Marys, PA 15857
Phone (412) 559-3821

Other identifiers 1

IdentifierTypeStateIssuer
139242OtherPAARRT

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
139242PAMDMagnetic Resonance Imaging Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427261098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 CHURCH ST",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "15857",
            "telephone_number": "412-559-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 CHURCH ST",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "15857",
            "telephone_number": "412-559-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONOR",
        "first_name": "MARY",
        "middle_name": "KAY",
        "credential": "MRI(MR)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "PA",
            "license": "139242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARRT",
            "identifier": "139242",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Marys, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.