NPIMap

Organization Active NPI

John P Oconnor MD PA

  • Family Medicine Physician
  • Marathon, FL
National Provider Identifier
1689750598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHN P OCONNOR MD PA
Practice address
13365 Overseas Hwy
Suite 102
Marathon, FL 33050
Phone
(305) 743-9436
Fax
(305) 743-9612
NPI assigned
Oct 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Patrick Oconnor, MDNPI 1659465458
Title
Owner
Phone
(305) 743-9436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 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 1

IdentifierTypeStateIssuer
25759OtherFLBLUE CROSS OF FL

Other names 1

  • Corporation Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689750598",
    "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": {
        "organization_name": "JOHN P OCONNOR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-743-9436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FL",
            "identifier": "25759",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.