Active NPI
Britain Ann O'Connor, MD
- Family Medicine Physician
- Pulaski, WI
National Provider Identifier
1609281765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 67588-20
- Practice address
- 723 S Wisconsin St
Pulaski, WI 54162-9303 - Phone
- (920) 822-1100
- Fax
- (920) 822-5731
- NPI assigned
- Jun 27, 2014
- Last updated
- Feb 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 67588-20 | WI | Primary |
Addresses
Primary practice location
723 S Wisconsin St
Pulaski, WI 54162-9303
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
140B School Creek Trl
Luxemburg, WI 54217-1095
Phone (920) 845-1370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100069684 | Medicaid | WI |
Other names 1
- Britain Ann Lundin Waid
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
723 S Wisconsin St
Pulaski, WI 54162-0109
Phone (920) 822-1100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67588-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Family Medicine | Past | Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
140 School Creek Trl
#B
Luxemburg, WI 54217
Phone (920) 845-1370
723 S Wisconsin St
Pulaski, WI 54162
Phone (920) 822-1100
Interoperability endpoints
- boconnor926046@direct.emplifyhealth.org
Organizations & group practices 4
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.
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
Family Medicine
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
dba FMC Bellevue
- Family Medicine Physician
- Green Bay, WI
- NPI 1215189121
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
-
dba Door County Medical Center
- Critical Access Hospital
- Sturgeon Bay, WI
- NPI 1093743874
-
dba Door County Medical Center Lab
- Clinical Medical Laboratory
- Sturgeon Bay, WI
- NPI 1811090285
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1609281765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 S WISCONSIN ST",
"city": "PULASKI",
"state": "WI",
"postal_code": "541629303",
"telephone_number": "920-822-1100",
"fax_number": "920-822-5731"
}
],
"practiceLocations": [
{
"address_1": "140B School Creek Trl",
"address_purpose": "LOCATION",
"city": "Luxemburg",
"state": "WI",
"postal_code": "542171095",
"country_code": "US",
"telephone_number": "920-845-1370",
"fax_number": "920-845-1397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "BRITAIN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "67588-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100069684",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRITAIN",
"last_name": "WAID",
"middle_name": "ANN LUNDIN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Pulaski, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.
- 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.