Organization Active NPI

Maeve E. O'Connor MD, PA

  • Allergy & Immunology (Internal Medicine) Physician
  • Charlotte, NC
National Provider Identifier
1922340132
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
20030857 Issued in NC
Legal business name
MAEVE E. O'CONNOR MD, PA
Practice address
1523 Elizabeth Ave
Suite 200
Charlotte, NC 28204-2534
Phone
(704) 910-0765
Fax
(704) 910-1506
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Dr. Maeve O'Connor, MDNPI 1114956752
Title
President
Phone
(704) 910-0765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 20030857 NC
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X 20030857 NC Primary

Addresses

Primary practice location

1523 Elizabeth Ave
Suite 200
Charlotte, NC 28204-2534

Mailing address

1523 Elizabeth Ave
Suite 200
Charlotte, NC 28204-2534
Phone (704) 910-0765

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1922340132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 ELIZABETH AVE",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042534",
            "telephone_number": "704-910-0765",
            "fax_number": "704-910-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 ELIZABETH AVE",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042534",
            "telephone_number": "704-910-0765",
            "fax_number": "704-910-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAEVE E. O'CONNOR MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MAEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-910-0765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "20030857",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NC",
            "license": "20030857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.