BONNIE O OCONNOR (NPI# 1033199948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033199948 |
| Entity Type | Individual |
| Full Name | BONNIE O OCONNOR |
| Credential | PA C |
| Practice Address |
4745 Ogletown Stanton Rd Suite 225 Newark DE 19713 |
| Practice Telephone | 3027312888 |
| Practice Fax Number | 3027317049 |
| Mailing Telephone | 3027312888 |
| Mailing Fax Number | 3027317049 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2014-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | C50000144 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000499843 | 05 |
| Street Address |
4745 OGLETOWN STANTON RD SUITE 225 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194224 | Mehdi Balakhani | Specialist | 4745 Ogletown Stanton Rd, Map #1, Suite 226, Newark, DE 19713-2067 | 2005-06-14 |
| 1912439829 | Dirm Surgery Center | Clinic/Center | 4745 Ogletown Stanton Rd, Suite 117, Newark, DE 19713-2067 | 2017-03-30 |
| 1821548025 | Danielle M Corsi | Registered Nurse | 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 | 2016-10-12 |
| 1386194116 | Sooin Lee | Nurse Practitioner | 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 | 2016-10-05 |
| 1023564499 | Hosmane Eye Care LLC | Optometrist | 4745 Ogletown Stanton Rd, Pavillion 1, Suite 135, Newark, DE 19713-2067 | 2016-08-26 |
| 1407202807 | Lisa Wei Schmidt | Physician Assistant | 4745 Ogletown Stanton Rd, Ste 225, Newark, DE 19713-2067 | 2016-05-04 |
| 1619341328 | Keri Ann E. Flanagan | Registered Nurse | 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 | 2015-11-18 |
| 1124496807 | Kaysha P Michel | Registered Nurse | 4745 Ogletown Stanton Rd, Suite 220, Newark, DE 19713-2067 | 2015-09-11 |
| 1376922799 | Chanhsamone Syravanh | Physician Assistant | 4745 Ogletown Stanton Rd, Medical Arts Pavilion 1, Suite 135, Hosmane Cardiology, Newark, DE 19713-2067 | 2015-05-19 |
| 1548652704 | Kristin M Fawcett | Nurse Practitioner | 4745 Ogletown Stanton Rd, Suite 217, Newark, DE 19713-2067 | 2015-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992104962 | Jessica Nackley | Physician Assistant | 1200 Driving Park Ave Ste 4, Newark, NY 14513-1090 | 2014-08-15 |
| 1831304682 | Geraldine Redmond | Physician Assistant | 150 Bergen St., E - Level Rm# E346, Newark, NJ 07103 | 2007-05-14 |
| 1285856716 | Jill Rachel Mermagen | Physician Assistant | 4755 Stanton Ogletown Road, Newark, DE 19711 | 2007-05-03 |
| 1679794473 | North Jersey Orthopaedic Group | Physician Assistant | 90 Bergen St Ste 1200, Newark, NJ 07103-2425 | 2007-05-01 |
| 1073697330 | Krista Wark Rogaski | Physician Assistant | 90 Bergen St # 8100, Newark, NJ 07103-2425 | 2006-10-24 |
| 1043310527 | Anthony H Hamded | Physician Assistant | 111 Central Ave Fl 3, Newark, NJ 07102-1909 | 2006-09-24 |
| 1922614981 | Kalette Demarrais | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2020-09-16 |
| 1477162725 | Aidan Sullivan | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2020-07-23 |
| 1871064352 | Cassandra Barker | Physician Assistant | 150 Bergen St, Newark, NJ 07103-2496 | 2018-12-10 |
| 1881161198 | Kaitlyn A Tytka | Physician Assistant | 1200 Driving Park Ave Ste 4, Newark, NY 14513-1090 | 2018-10-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.