Timothy Rogers Oconnell, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

34187 Issued in MO

Practice address

621 South New Ballas Road
Suite 6003B
Saint Louis, MO 63141

Phone

(314) 991-2151

Fax

(314) 991-2742

NPI assigned

Aug 11, 2006

Last updated

Sep 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Midwest Plastic & Hand Surgery Inc

  • Plastic Surgery Physician
  • Saint Louis, MO
  • NPI 1942211065
  NPD (past) Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1689685786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SOUTH NEW BALLAS ROAD",
            "address_2": "SUITE 6003B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-991-2151",
            "fax_number": "314-991-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SOUTH NEW BALLAS ROAD",
            "address_2": "SUITE 6003B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-991-2151",
            "fax_number": "314-991-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "TIMOTHY",
        "middle_name": "ROGERS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "34187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3066028001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "A11093",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD CHOICE",
            "identifier": "000004321",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLANS",
            "identifier": "6960V41192",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240007863",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE MANAGEMENT RESOURCE",
            "identifier": "6960V41192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Leigh Ochs, PHARM.D.
• Peggy Ochs
• Bridget O Ochuko, DPT
• Chileme U Ochulor
• Samuel A Ockner, MD
• Carmen M. Oconnor, APRN, BC
• Kevin M Oconnor, MD
• Matthew Brady Oconnor, LPC
• Michaela Oconnor
• Andrew John Odden, MD

• Plastic Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Plastic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.