John Thomas O'Connor Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1634 Issued in OK

Practice address

301 Wanda St
Marietta, OK 73448-1229

Phone

(580) 276-2400

Fax

(580) 276-4358

NPI assigned

May 12, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1831140193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WANDA ST",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734481229",
            "telephone_number": "580-276-2400",
            "fax_number": "580-276-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WANDA ST",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734481229",
            "telephone_number": "580-276-2400",
            "fax_number": "580-276-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "1634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health Services of Southern Oklahoma
• Mercy Health - Love County EMS
• Mercy Health Love County Rural Health Clinic
• Susan Raelene Miller, R.N.
• Morning Star a.T.U.
• Patricia Owens, FNP
• Doris Jean Petty, RN
• Melinda Sue Pitts, R.N.
• Larry Dean Powell, M.D.
• Mariana Sanchez

• Family Medicine Physician in Marietta, OK
• Providers in Marietta, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.