MEDICARE: JAMES WILLIAM OCONNOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	49959	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891752572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES WILLIAM OCONNOR MD

Provider Business Mailing Address
First Line	:	297 NORTH ST STE 221
Second Line	:
City	:	HYANNIS
State	:	MA
Zip	:	02601-5133
Country	:	US
Telephone Number	:	508-628-7777
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 EDGERTON DR
Second Line	:
City	:	NORTH FALMOUTH
State	:	MA
Zip	:	02556-2821
Country	:	US
Telephone Number	:	508-778-4777
Fax Number	:	508-771-9555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	06/17/2019

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