Active NPI
Paula Oconnor, PA-C
- Physician Assistant
- Falmouth, ME
National Provider Identifier
1962853903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2254
- Practice address
- 5 Bucknam Rd Ste 2B
Falmouth, ME 04105-1209 - Phone
- (207) 781-1600
- NPI assigned
- Jun 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2254 | ME | Primary |
Addresses
Primary practice location
5 Bucknam Rd Ste 2B
Falmouth, ME 04105-1209
Mailing address
5 Bucknam Rd Ste 2B
Falmouth, ME 04105-1209
Phone (207) 781-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2254 | Other | ME | MAINE STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Boston University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
5 Bucknam Rd
Falmouth, ME 04105-1209
Hospital & facility affiliations
- Mainehealth Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2254 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Physician Assistant | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
5 Bucknam Rd
Ste 2B
Portland, ME 04105
Phone (207) 781-1600
96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491
1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360
1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Interoperability endpoints
- poconnor452157@direct.mmc.mainehealth.org
Organizations & group practices 9
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Pediatrics Physician
- Saco, ME
- NPI 1134144090
-
- Family Medicine Physician
- Scarborough, ME
- NPI 1467477349
-
- Family Medicine Physician
- Windham, ME
- NPI 1144245028
-
- Internal Medicine Physician
- Cape Elizabeth, ME
- NPI 1598780447
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Urology Physician
- South Portland, ME
- NPI 1710215751
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1962853903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BUCKNAM RD STE 2B",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051209",
"telephone_number": "207-781-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BUCKNAM RD STE 2B",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051209",
"telephone_number": "207-781-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "PAULA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE STATE LICENSE",
"identifier": "PA2254",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.