Christopher Michael O'Connell, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101014284 Issued in MI

Practice address

15420 19 Mile Rd
Ste. 200
Clinton Township, MI 48038-6339

Phone

(586) 649-6104

Fax

(586) 263-0250

NPI assigned

May 6, 2006

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: coconnell132858@direct.hfhs.org

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.

• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Macomb Family Medicine

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1134265986
  Medicare reassignment NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment NPD
• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Health Macomb Hospital

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  NPD
• Henry Ford Macomb Hospital Corporation

  • Health Service Clinic/Center
  • Mount Clemens, MI
  • NPI 1437532959
  NPD
• Family First-Armada PLLC

  • Family Medicine Physician
  • Armada, MI
  • NPI 1124433271
  NPD (past)
• Hospital Health Care Inc.

  dba Clarkston Primary Care

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1609970359

  Family Medicine

  NPD (past)
• McLaren Oakland

  • Psychiatric Hospital Unit
  • Pontiac, MI
  • NPI 1245817881
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1528017878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15420 19 MILE RD",
            "address_2": "STE. 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386339",
            "telephone_number": "586-649-6104",
            "fax_number": "586-263-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 19 MILE RD",
            "address_2": "STE. 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386339",
            "telephone_number": "586-649-6104",
            "fax_number": "586-263-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Coliseum Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236666257",
            "country_code": "US",
            "telephone_number": "757-827-2025",
            "fax_number": "757-275-9802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014284",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4648909",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4412861",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4412870",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4412880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Nowak, LMSW
• Barbara Nowakowski, R.N.
• Kristen Nowland, LLMSW
• Nuch of Michigan Inc (MedPost - Clinton Township)
• Nursing Unlimited, Inc.
• Virginia A O'Donnell, BSW
• Joseph C. O'Laughlin, D.O.
• Janine Marie O'Neill, FNP - BC
• Annette O'Ray
• Adrianna Oceguera Donahue, MPA

• Family Medicine Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.