Active NPI
Tanya O'Connor, DO
- Obstetrics & Gynecology Physician
- Ephrata, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 05009575L
- Practice address
- 175 Martin Ave
Suite 125
Ephrata, PA 17522-1761 - Phone
- (717) 721-5700
- Fax
- (717) 715-1296
- NPI assigned
- Sep 1, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 05009575L | PA | Primary |
Addresses
Primary practice location
175 Martin Ave
Suite 125
Ephrata, PA 17522-1761
Mailing address
175 Martin Avenue
Suite 125
Ephrata, PA 17522-9550
Phone (717) 721-5700
Other practice location 1
35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 721-5700
Other practice location 2
6 W Newport Rd
Lititz, PA 17543-7774
Phone (717) 721-5700
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16736950008 | Medicaid | PA | |
| 127983 | Other | PA | THREE RIVERS |
| 76342 | Other | PA | BLUE SHIELD |
| 5113495 | Other | PA | USH/HMO |
| 1513422 | Other | PA | GATEWAY |
| 160048492 | Other | PA | RRMCR |
| 5113495 | Other | PA | AETNA |
| 500551204 | Other | PA | CAPITAL BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Obstetrics/Gynecology
- Education
- Philadelphia College of Osteopathic Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 733-0311
175 Martin Ave
Ephrata, PA 17522-1761
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 639-2955
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
- Wellspan Ephrata Community Hospital
- Wellspan York Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009575L | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Wellspan Medical Group | Past | Accepting new patients | |
| Ephrata Community Hospital | Past | Accepting new patients |
Locations
175 Martin Ave
Ste 125
Ephrata, PA 17522
Phone (717) 812-4602
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
Interoperability endpoints
- toconnor14031@wellspan.direct-ci.com
- toconnor@direct-address.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- Family Medicine Physician
- York, PA
- NPI 1598862716
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1609978741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MARTIN AVENUE",
"address_2": "SUITE 125",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175229550",
"telephone_number": "717-721-5700",
"fax_number": "717-715-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MARTIN AVE",
"address_2": "SUITE 125",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221761",
"telephone_number": "717-721-5700",
"fax_number": "717-715-1296"
}
],
"practiceLocations": [
{
"address_1": "35 Erick Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176013111",
"country_code": "US",
"telephone_number": "717-721-5700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 W Newport Rd",
"address_purpose": "LOCATION",
"city": "Lititz",
"state": "PA",
"postal_code": "175437774",
"country_code": "US",
"telephone_number": "717-721-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "TANYA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "05009575L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16736950008",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "127983",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "76342",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USH/HMO",
"identifier": "5113495",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1513422",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "160048492",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5113495",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE SHIELD",
"identifier": "500551204",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.