Scott M O'Connor, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036069908 Issued in IL

Practice address

2111 Ogden Ave
Aurora, IL 60504-7597

Phone

(630) 978-3800

Fax

(630) 862-3085

NPI assigned

Dec 14, 2005

Last updated

Jul 20, 2020By 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 2

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: soconnor141482@direct.rush.rush-health.com

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.

• Rush-Copley Orthopedics, LLC

  dba Castle Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Aurora, IL
  • NPI 1538616693
  Medicare reassignment NPD
• Rush-Copley Surgicenter, LLC

  dba Castle Surgicenter

  • Ambulatory Surgical Clinic/Center
  • Aurora, IL
  • NPI 1962959296
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1700861408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047597",
            "telephone_number": "630-978-3800",
            "fax_number": "630-682-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047597",
            "telephone_number": "630-978-3800",
            "fax_number": "630-862-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036069908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069908",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "CF4193",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Nystrom, FNP
• Erin Michelle O'Brien, MA, BCBA
• William J O'Brien, MD
• Bryan O'Connor, PT, DPT
• Sarah O'Connor
• Kerry Lynn O'Donnell, LPC
• Mary Elizabeth O'Donnell, PA-C
• Brian J O'Donovan, D.D.S.
• John O'Dwyer Jr., R.PH.
• Brianne O'Leary, CSFA

• Orthopaedic Surgery Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.