Active NPI
Thomas O'Connor, MD
- Internal Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1437167434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME134602
- Practice address
- 2151 E Commercial Blvd Ste 302
Fort Lauderdale, FL 33308-3807 - Phone
- (860) 904-6779
- Fax
- (860) 904-6762
- NPI assigned
- Aug 4, 2006
- Last updated
- Aug 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 043720 | CT | |
| Internal Medicine Physician | 207R00000X | ME134602 | FL | Primary |
Addresses
Primary practice location
2151 E Commercial Blvd Ste 302
Fort Lauderdale, FL 33308-3807
Mailing address
2151 E Commercial Blvd Ste 302
Fort Lauderdale, FL 33308-3807
Phone (860) 904-6779
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 |
|---|---|---|---|
| 043720 | CT | MD | Internal Medicine Physician |
| ME134602 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGCCDD/Endpoint/AGCCDD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Bloomfield, CT
- NPI 1730571282
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1437167434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 E COMMERCIAL BLVD STE 302",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083807",
"telephone_number": "860-904-6779",
"fax_number": "860-904-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 E COMMERCIAL BLVD STE 302",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083807",
"telephone_number": "860-904-6779",
"fax_number": "860-904-6762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "043720",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME134602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.