John Joseph Oconnor, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25148 Issued in AZ

Practice address

3109 Clearwater Drive
Ste a
Prescott, AZ 86305

Phone

(928) 778-1066

Fax

(928) 778-7270

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

University of Chicago, Pritzker School of Medicine, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Yavapai Community Hospital Association

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Medicare reassignment NPD
• Yavapai Pathology Associates PLC

  • Anatomic Pathology Physician
  • Prescott, AZ
  • NPI 1841234184
  NPD
• Yrmc Hospice

  • Community Based Hospice Care Agency
  • Prescott Valley, AZ
  • NPI 1467409219
  NPD

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1437157203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 CLEARWATER DRIVE",
            "address_2": "STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-778-1066",
            "fax_number": "928-778-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 CLEARWATER DRIVE",
            "address_2": "STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-778-1066",
            "fax_number": "928-778-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "25148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379877",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Kevin Oakeson, OD
• Oaklawn LC
• Cerese Oakley
• Oasis Addiction Counseling LLC
• Oasis Addiction Counseling LLC
• Martha Louise Odegaard, L.AC., O.M.D.
• Christina Odell, LAC
• April Renae Odorfer, FNP
• Catherine Odorfer, PT, DPT
• Olufunso W Odunukan, MD

• General Practice Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.