Active NPI
John Patrick O'Connor, MD
- Family Medicine Physician
- Marathon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0066592
- Practice address
- 13365 Overseas Hwy
Suite 102
Marathon, FL 33050 - Phone
- (305) 743-9436
- Fax
- (305) 743-9612
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 16, 2021
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0066592 | FL | Primary |
Addresses
Primary practice location
13365 Overseas Hwy
Suite 102
Marathon, FL 33050
Mailing address
13365 Overseas Hwy
Suite 102
Marathon, FL 33050
Phone (305) 743-9436
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25759 | Other | FL | BLUE CROSS OF FL |
| 377984000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13365 Overseas Hwy
Suite 102
Marathon, FL 33050-3513
Phone (305) 294-0011
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce L Boros MD PA | Current | Accepting new patients | |
| Bruce L Boros MD PA | Current | Accepting new patients | |
| Bruce L Boros MD PA | Current | Accepting new patients | |
| Fishermen's Hospital, Inc. | Past | Accepting new patients |
Locations
100460 Overseas Hwy
Ste 4
Key Largo, FL 33037
Phone (305) 453-3337
1980 N Roosevelt Blvd
Key West, FL 33040
Phone (305) 294-0011
2407 N Roosevelt Blvd
Key West, FL 33040
Phone (305) 293-9555
13365 Overseas Hwy
Ste 102
Marathon, FL 33050
Phone (305) 294-0011
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Key West, FL
- NPI 1659443976
-
- Family Medicine Physician
- Marathon, FL
- NPI 1689750598
-
dba Advanced Urgent Care of the Middle Keys
- Urgent Care Clinic/Center
- Marathon, FL
- NPI 1316578651
-
dba Advanced Primary Care of the Florida Keys
- Internal Medicine Physician
- Key Largo, FL
- NPI 1851073514
-
dba Fishermen's Community Hospital
- Critical Access Hospital
- Marathon, FL
- NPI 1851346787
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Marathon, FL
- NPI 1235669110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1659465458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13365 OVERSEAS HWY",
"address_2": "SUITE 102",
"city": "MARATHON",
"state": "FL",
"postal_code": "33050",
"telephone_number": "305-743-9436",
"fax_number": "305-743-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13365 OVERSEAS HWY",
"address_2": "SUITE 102",
"city": "MARATHON",
"state": "FL",
"postal_code": "33050",
"telephone_number": "305-743-9436",
"fax_number": "305-743-9612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0066592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF FL",
"identifier": "25759",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377984000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marathon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.