Individual provider Active NPI

Kate O'Connor, M.D.

  • Facial Plastic Surgery Physician
  • Nashville, TN
National Provider Identifier
1659752277
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
63024 Issued in TN
Practice address
1017 16TH Ave S
Nashville, TN 37212-2324
Phone
(615) 314-6800
Fax
(615) 503-8888
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 63024 TN Primary

Addresses

Primary practice location

1017 16TH Ave S
Nashville, TN 37212-2324

Mailing address

1017 16TH Ave S
Nashville, TN 37212-2324
Phone (615) 314-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63024TNMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marvel Clinic P.C. CurrentSince Oct 3, 2022 Accepting new patients
Center for Day Surgery Current Accepting new patients

Locations

1821 N Washington St
Tullahoma, TN 37388
Phone (931) 455-2005

Interoperability endpoints

  • Direct secure messaging: koconnor220293@direct.integrisok.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1659752277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 16TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122324",
            "telephone_number": "615-314-6800",
            "fax_number": "615-503-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 16TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122324",
            "telephone_number": "615-314-6800",
            "fax_number": "615-503-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TN",
            "license": "63024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.