Individual provider Active NPI

James A Oconnor, D.O.

  • Adult Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1659442184
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
5101005756 Issued in MI
Practice address
315 E Eisenhower Pkwy
Suite 7
Ann Arbor, MI 48108-3350
Phone
(734) 222-8200
Fax
(734) 222-8202
NPI assigned
Nov 13, 2006
Last updated
Dec 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 5101005756 MI Primary

Addresses

Primary practice location

315 E Eisenhower Pkwy
Suite 7
Ann Arbor, MI 48108-3350

Mailing address

315 E Eisenhower Pkwy
Suite 7
Ann Arbor, MI 48108-3350
Phone (734) 222-8200

Other identifiers 1

IdentifierTypeStateIssuer
11-2905678MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180530003138 MI Order and Referring Only - Family PracticePractitioner - Family PracticePractitioner - Hospice/Palliative Care 9133153232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Physician Services PLLC Past Accepting new patients
Cristo Rey Community Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joconnor485379@direct.hfhs.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1659442184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E EISENHOWER PKWY",
            "address_2": "SUITE 7",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083350",
            "telephone_number": "734-222-8200",
            "fax_number": "734-222-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E EISENHOWER PKWY",
            "address_2": "SUITE 7",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083350",
            "telephone_number": "734-222-8200",
            "fax_number": "734-222-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "5101005756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11-2905678",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.