Healthcare Provider Details

I. General information

NPI: 1063070969
Provider Name (Legal Business Name): DANIEL P OCONNOR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 CHERRY ST
TOLEDO OH
43608-2673
US

IV. Provider business mailing address

2222 CHERRY ST STE 1400
TOLEDO OH
43608-2669
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-4790
  • Fax:
Mailing address:
  • Phone: 419-251-4790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number5151013620
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number34.017691
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number34.017691
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number5151013620
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: