Active NPI
Christopher James O'Connor, MD
- Family Medicine Physician
- Marquette, MI
National Provider Identifier
1922480573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301108252
- Practice address
- 1414 W Fair Ave Ste 390
Marquette, MI 49855-5407 - Phone
- (906) 225-3870
- Fax
- (906) 225-4861
- NPI assigned
- Jun 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301108252 | MI | Primary |
Addresses
Primary practice location
1414 W Fair Ave Ste 390
Marquette, MI 49855-5407
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
1414 W Fair Ave
Suite 36
Marquette, MI 49855-2675
Phone (906) 225-3864
Other practice location 2
106 S School Rd
Daggett, MI 49821-8555
Phone (906) 753-2155
Other practice location 3
1100 10th St
Menominee, MI 49858-3062
Phone (906) 863-2256
Other practice location 4
610 S Lincoln Rd
Escanaba, MI 49829-1215
Phone (906) 786-6488
Other practice location 5
440 Woodward Ave
Iron Mountain, MI 49801-4631
Phone (906) 776-9040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ABFM-MOC | Other | AMERICAN BOARD OF FAMILY MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729008939 | MI | Practitioner - Family Practice | 1951615350 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
1414 W Fair Ave
Marquette, MI 49855-5407
Phone (906) 225-6701
Hospital & facility affiliations
- Upper Peninsula Home Health & Hospice
- Upper Peninsula Home Health & Hospice
- Uphs Marquette DLP Hospital
- Bell Hospital
- Bellin Memorial Hospital
- Osf St Francis Hospital and Medical Group
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Family Medicine | Current | Accepting new patients |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
| Oconto Hospital & Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Family Medicine | Past | Accepting new patients |
Locations
106 S School Rd
Daggett, MI 49821
Phone (906) 753-2155
610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488
440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040
1414 W Fair Ave
Ste 390
Marquette, MI 49855
Phone (906) 225-3881
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
1100 10th St
Menominee, MI 49858
Phone (906) 863-2256
Interoperability endpoints
- coconnor924630@direct.emplifyhealth.org
- coconnor333649@direct.thedacare.org
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
Family Medicine, MI
-
- Rural Health Clinic/Center
- Menominee, MI
- NPI 1356799969
Family Medicine, MI
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Green Bay, WI
- NPI 1518920883
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Home Infusion Therapy Pharmacy
- Green Bay, WI
- NPI 1619078094
-
- Rural Health Clinic/Center
- Kewaunee, WI
- NPI 1699737379
-
- Mobile Radiology Clinic/Center
- Green Bay, WI
- NPI 1740600600
-
- Home Health Agency
- Green Bay, WI
- NPI 1831246404
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
-
- Rehabilitation Hospital Unit
- Green Bay, WI
- NPI 1174689178
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
Hospital
-
- Home Health Agency
- Marquette, MI
- NPI 1891793162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1922480573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE STE 390",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498555407",
"telephone_number": "906-225-3870",
"fax_number": "906-225-4861"
}
],
"practiceLocations": [
{
"address_1": "1414 W Fair Ave",
"address_2": "Suite 36",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498552675",
"country_code": "US",
"telephone_number": "906-225-3864",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 S School Rd",
"address_purpose": "LOCATION",
"city": "Daggett",
"state": "MI",
"postal_code": "498218555",
"country_code": "US",
"telephone_number": "906-753-2155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 10th St",
"address_purpose": "LOCATION",
"city": "Menominee",
"state": "MI",
"postal_code": "498583062",
"country_code": "US",
"telephone_number": "906-863-2256",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 S Lincoln Rd",
"address_purpose": "LOCATION",
"city": "Escanaba",
"state": "MI",
"postal_code": "498291215",
"country_code": "US",
"telephone_number": "906-786-6488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "440 Woodward Ave",
"address_purpose": "LOCATION",
"city": "Iron Mountain",
"state": "MI",
"postal_code": "498014631",
"country_code": "US",
"telephone_number": "906-776-9040",
"fax_number": "906-774-5950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-19",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301108252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD OF FAMILY MEDICINE",
"identifier": "ABFM-MOC",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.