NPIMap

Organization Active NPI

Oconnor Family Medicine PLLC

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1760786933
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OCONNOR FAMILY MEDICINE PLLC
Practice address
309 E Farwell Rd
204
Spokane, WA 99218-8207
Phone
(509) 385-0600
Fax
(509) 466-4798
NPI assigned
Jan 3, 2011
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Dr. Jeffrey Robert O'ConnorNPI 1528166766
Title
Owner
Phone
(509) 385-0600

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

309 E Farwell Rd
204
Spokane, WA 99218-8207

Mailing address

309 E Farwell Rd
204
Spokane, WA 99218-8207
Phone (509) 385-0600

Other identifiers 4

IdentifierTypeStateIssuer
603063268OtherWAUBI
G8899209OtherWAGROUP PTAN
1029367MedicaidWA
DR3582OtherWARR PTAN

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": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1760786933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E FARWELL RD",
            "address_2": "204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992188207",
            "telephone_number": "509-385-0600",
            "fax_number": "509-466-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E FARWELL RD",
            "address_2": "204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992188207",
            "telephone_number": "509-385-0600",
            "fax_number": "509-466-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONNOR FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-385-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "603063268",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "G8899209",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029367",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN",
            "identifier": "DR3582",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.