John Charles O'Connell, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

KY36541 Issued in KY

Practice address

811 Corporate Dr Ste 101
Lexington, KY 40503-5408

Phone

(859) 296-2847

Fax

(859) 296-0796

NPI assigned

Dec 30, 2006

Sex

Male

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871659912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911008",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405911008",
            "telephone_number": "859-296-2847",
            "fax_number": "859-296-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CORPORATE DR STE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035408",
            "telephone_number": "859-296-2847",
            "fax_number": "859-296-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "KY36541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64019656",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol M O'Brien, CSW, MSW
• John M O'Brien, MD
• Morgan O'Brien, MS, BCBA, LBA
• Jennifer R O'Bryan, CDE, RN
• Karissa O'Bryan
• Christina Lee O'Connor, CRNA
• Kevin F O'Connor Jr., M.D.
• Mary Evelyn O'Daniel-Pierce, M.D.
• Harold David O'Donnell, DMD
• Patrick Woods O'Donnell, MD, PHD

• All providers in Lexington, KY
• Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.