Active NPI
Edward G O'Connor Jr., M.D.
- Anesthesiology Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0095161
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Saint Agnes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0095161 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Anesthesia Associates, PA | Anesthesiology | Current | Accepting new patients |
| St. Agnes Healthcare, Inc. | Anesthesiology | Current | Accepting new patients |
| Anesthesia Company, LLC | Anesthesiology | Current | Accepting new patients |
| St Agnes Healthcare Inc | Current | 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.
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1003079799
-
- Anesthesiology Physician
- Easton, MD
- NPI 1780621474
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780615922
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.