Individual provider Active NPI

Edward G O'Connor Jr., M.D.

  • Anesthesiology Physician
  • Annapolis, MD
National Provider Identifier
1659804532
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0095161 Issued in MD
Practice address
2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone
(443) 481-1000
NPI assigned
Apr 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0095161 MD Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2001 Medical Pkwy
Annapolis, MD 21401-3773

Mailing address

700 Melvin Ave Ste 7a
Annapolis, MD 21401-1515
Phone (410) 280-2260

Other practice location 1

1215 Lee Street - Box Number 800710
Charlottesville, VA 22908-2829
Phone (434) 982-0629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220818003528 MD Practitioner - Anesthesiology 8628320298 Reassigns benefits to 3 organizations
I20220818003624 DC Practitioner - Anesthesiology 8628320298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Georgetown University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians
Tidewater Anesthesia Associates, PAGroup PAC ID 1254300361, 35 clinicians
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

6 Caulk LN
Easton, MD 21601-3854
Phone (410) 822-5559

8905 Fairview Rd
Silver Spring, MD 20910-4150
Phone (888) 554-0631

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3048

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0095161MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Anesthesia Associates, PA Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
St. Agnes Healthcare, Inc. Anesthesiology CurrentSince Oct 25, 2023 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Aug 9, 2022 Accepting new patients
St Agnes Healthcare Inc CurrentSince Oct 25, 2023 Accepting new patients

Locations

700 Melvin Ave
Ste 7A
Annapolis, MD 21401
Phone (240) 766-2734

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

6 Caulk Ln
Easton, MD 21601
Phone (410) 822-5552

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1659804532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MELVIN AVE STE 7A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011515",
            "telephone_number": "410-280-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013773",
            "telephone_number": "443-481-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee Street - Box Number 800710",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229082829",
            "country_code": "US",
            "telephone_number": "434-982-0629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "EDWARD",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0095161",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.