Luan Oconnor, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34004754O Issued in OH

Practice address

3813 Weymouth Woods Dr
Medina, OH 44256-7940

Phone

(330) 441-2692

Fax

(330) 975-6156

NPI assigned

Aug 24, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1851384945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 WEYMOUTH WOODS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567940",
            "telephone_number": "330-441-2692",
            "fax_number": "330-975-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 WEYMOUTH WOODS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567940",
            "telephone_number": "330-441-2692",
            "fax_number": "330-975-6156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Reagan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442561545",
            "country_code": "US",
            "telephone_number": "330-725-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "LUAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004754O",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0757373",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane O'Donnell
• Clara O'Malley, C- PA
• Oak Knot Holdings
• Conita Oaks, LPN
• Ashley Oconnor
• Kathryn Ebner Ocull, MPT
• Judith Lynn Oddo, PT
• Ohio Anesthesia Services, Inc.
• Ohio Crna
• Ohio CVS Stores LLC

• Family Medicine Physician in Medina, OH
• Providers in Medina, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.