NPIMap

Organization Active NPI

Unionville Pediatrics

  • Pediatrics Physician
  • Unionville, CT
National Provider Identifier
1497748636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18190 Issued in CT
Legal business name
UNIONVILLE PEDIATRICS
Practice address
101 Main St
Unionville, CT 06085-1131
Phone
(860) 673-6124
Fax
(860) 673-3290
NPI assigned
Aug 23, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frederick V O Connor, MDNPI 1982774618
Title
Partner
Phone
(860) 673-6124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 18190 CT Primary

Addresses

Primary practice location

101 Main St
Unionville, CT 06085-1131

Mailing address

101 Main St
PO Box 221
Unionville, CT 06085-1131
Phone (860) 673-6124

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0699054Unionville Pediatrics101 Main St, Unionville, CT 06085Certificate of waiverDec 7, 2026

National Provider Directory

National Provider Directory

Locations

573 Hopmeadow St
Simsbury, CT 06070
Phone (860) 658-0010

209 Main St
Ste 1A
Southington, CT 06489
Phone (860) 880-2230

209 Main St
Ste A
Southington, CT 06489
Phone (860) 621-8331

101 Main St
Unionville, CT 06085
Phone (860) 673-3900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15841/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497748636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "address_2": "PO BOX 221",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851131",
            "telephone_number": "860-673-6124",
            "fax_number": "860-673-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851131",
            "telephone_number": "860-673-6124",
            "fax_number": "860-673-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIONVILLE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O CONNOR",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-673-6124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "18190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Unionville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.