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NPI Code Detail

MEDICARE: JAMES PATRICK O'CONNELL M.D.

MEDICARE: JAMES PATRICK O'CONNELL M.D.
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
1207L00000XAnesthesiology Physician166852NY
2208VP0014XInterventional Pain Medicine Physician2021-00457NC
3208VP0014XInterventional Pain Medicine Physician166852NY
4207L00000XAnesthesiology Physician2021-00457NC

Other Identifiers

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

General Provider Information

NPI Number : 1376571489
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES PATRICK O'CONNELL M.D.
Provider Business Mailing Address
First Line : 2430 EMERALD PL STE 201
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5743
Country : US
Telephone Number : 252-752-2140
Fax Number :
Provider Business Practice Location Address
First Line : 2430 EMERALD PL STE 201
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5743
Country : US
Telephone Number : 252-752-2140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 12/09/2022

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