Active NPI
James Oconnor, PA
- Physician Assistant
- Parkersburg, WV
National Provider Identifier
1609821438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 00957
- Practice address
- 800 Garfield Ave
Parkersburg, WV 26101-5340 - Phone
- (304) 424-2355
- Fax
- (304) 424-2596
- NPI assigned
- May 23, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00957 | WV | Primary |
Addresses
Primary practice location
800 Garfield Ave
Parkersburg, WV 26101-5340
Mailing address
PO Box 763
Morgantown, WV 26507-0763
Phone (800) 541-4009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001163 | Other | WV | WORKERS COMPENSATION |
| 001807918 | Other | WV | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00957 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Occ Med Physicals Acad&Surveillancesolutionsllc | Past | Accepting new patients | |
| Bestpractices of West Virginia, Inc. | Past | Accepting new patients | |
| River Valley Emergency Physicians, Inc | Physician Assistant | Past | Accepting new patients |
| Marshall West Virginia Ed Associates, LLC | Past | Accepting new patients |
Organizations & group practices 7
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.
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Physician Assistant
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609821438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 763",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265070763",
"telephone_number": "800-541-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GARFIELD AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015340",
"telephone_number": "304-424-2355",
"fax_number": "304-424-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "JAMES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "00957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "3001163",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "001807918",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.