Gerard S. O'Connor,M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0030368 Issued in MD

Legal business name

GERARD S. O'CONNOR,M.D.

Practice address

100 Brown St
Chestertown, MD 21620-1435

Phone

(410) 778-6303

Fax

(410) 778-6306

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gerard Stephen O'Connor, M.D.

Title

Sole Proprietor

Phone

(410) 778-6303

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Paul R Johnson, M.D.

  • General Practice Physician
  • Chestertown, MD
  • NPI 1902830433

  Vascular Surgery

  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1992994693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROWN ST STE 214",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201435",
            "telephone_number": "410-778-6303",
            "fax_number": "410-778-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROWN ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201435",
            "telephone_number": "410-778-6303",
            "fax_number": "410-778-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD S. O'CONNOR,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "410-778-6303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0030368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "507L",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST RENDERING ID",
            "identifier": "39849601",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST RENDERING ID",
            "identifier": "W2510001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Henderson Farrow, LCSW-C
• Andrew Scott Ferguson, M.D.
• Amber Ferrell
• For All Seasons, Inc.
• Christopher Paul Garvey, PT
• Alison Leah Gifford, APRN, FNP-C
• Stacie L Glover, M.S., CCC-A
• Mark Mitchell Goldberg, D.P.M.
• Susan Yvonne Goldman, LCSW-C
• Danielle Latricia Gomer, PTA

• Specialist in Chestertown, MD
• Providers in Chestertown, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.