DR. TERRENCE PATRICK O'CONNOR (NPI# 1063851673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063851673 |
| Entity Type | Individual |
| Full Name | DR. TERRENCE PATRICK O'CONNOR |
| Credential | M.D. |
| Practice Address |
9555 Sw 162nd Ave Miami FL 33196-6408 |
| Mailing Address |
842 Nw 9th Ct Miami FL 33136-3009 |
| Practice Telephone | 7864672000 |
| Mailing Telephone | 3474590325 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME131124 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MT203453 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BOARD OF MEDICINE | ME131124 | 01 |
| PA | PENNSYLVANIA MEDICAL TRAINING LICENSE | MT203453 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5501 Old York Rd, Albert Einstein Medical Center - Emergency Medicine Dpt, Philadelphia, PA 191413018 | 2154566336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972523462 | Terrence O'connor | Marriage & Family Therapist | 1090 Sunnycrest Ave, Ventura, CA 93003-1209 | 2006-07-20 |
| 1164811519 | Terrence O'connor | Counselor | 1695 Main St, Springfield, MA 01103 | 2015-01-22 |
| 1124220165 | Terrence Richard O'connor | Emergency Medicine | 3181 Sw Sam Jackson Park Rd, Cdw-em, Portland, OR 97239-3011 | 2007-06-01 |
| Street Address |
9555 SW 162ND AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33196-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104815117 | Alex Alexander Agostini-miranda | Emergency Medicine | 9555 Sw 162nd Ave, Emergency Room, Miami, FL 33196-6408 | 2005-10-21 |
| 1619597242 | Maria Celia Rojo-carlo | Pharmacist | 9555 Sw 162nd Ave, Miami, FL 33196-6408 | 2020-04-23 |
| 1629542972 | Samantha Marie Chen | Registered Nurse | 9555 Sw 162nd Ave, Miami, FL 33196-6408 | 2019-01-18 |
| 1356817860 | Amy Thompson | Nurse Practitioner | 9555 Sw 162nd Ave, Miami, FL 33196-6408 | 2018-10-23 |
| 1154803203 | Carolyn M Ruiz | Pharmacist | 9555 Sw 162nd Ave, Miami, FL 33196-6408 | 2018-09-05 |
| 1093221822 | Rosabel Embury | Nurse Practitioner | 9555 Sw 162nd Ave, Miami, FL 33196-6408 | 2017-12-15 |
| 1306357868 | Patricia Gonzalez-abreu | Pharmacist | 9555 Sw 162nd Ave, Miami, FL 33196-6408 | 2017-10-23 |
| 1023560414 | Maria Roman | Hospitalist | 9555 Sw 162nd Ave, Miami, FL 33196 | 2016-11-01 |
| 1336698000 | Carlos Sanchez-baldoquin | Pharmacist | 9555 Sw 162nd Ave, Miami, FL 33196-6408 | 2016-09-22 |
| 1306399670 | Sean Holloway | Registered Nurse | 9555 Sw 162nd Ave, Miami, FL 33196-6408 | 2016-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497367825 | Lian Linares Izquierdo | Behavior Technician | 11571 Sw 110th Ter, Miami, FL 33196 | 2020-08-18 |
| 1780208827 | Ohama Fuster | Assistant Behavior Analyst | 15560sw 111ter., Miami, FL 33196 | 2020-06-04 |
| 1346870516 | Belkis Leonor Rodriguez | Assistant Behavior Analyst | 9798 Sw 147 Pl, Miami, FL 33196 | 2020-01-16 |
| 1386109692 | Hercule Lamur | Family Medicine | 14768 Sw 158 Path, Miami, FL 33196 | 2019-01-31 |
| 1457824823 | Kelsie Marie Riveron | Student in an Organized Health Care Education/Training Program | 16461 Sw 99 St, Miami, FL 33196 | 2019-01-08 |
| 1629545330 | Irene Roldan | Nurse Practitioner | 15971 Sw 138 Ter, Miami, FL 33196 | 2018-10-31 |
| 1114414240 | Daniel Gil De Lamadrid | Student in an Organized Health Care Education/Training Program | 15955 Sw 96 Street, Suite 200, Miami, FL 33196 | 2018-04-14 |
| 1649776774 | Janet Martinez | Developmental Therapist | 9141 Sw 153rd Psge, Miami, FL 33196 | 2018-04-05 |
| 1174027247 | Juntos Behavioral & Mental Benefits Corp. | Behavioral Analyst | 9532 Sw 167th Ave, Miami, FL 33196 | 2018-03-22 |
| 1487165239 | Medhealth Billing Services LLC | Contractor | 14790 N Kendall Dr. #961595, Miami, FL 33196 | 2017-10-19 |
| Find all providers in zip 33196 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487018461 | Rachel Libby | Emergency Medicine | 2965 Coconut Ave, Miami, FL 33133-3761 | 2016-04-06 |
| 1851775464 | Matthew Brooks | Emergency Medicine | 601 Ne 36th St Apt 1311, Miami, FL 33137-3951 | 2015-07-13 |
| 1861838823 | Carlos A Penaherrera | Emergency Medicine | 145 Sw 13th St, Apt 626, Miami, FL 33130-4226 | 2013-05-17 |
| 1831532480 | Steven Neil Ecker | Emergency Medicine | 10002 Sw 57th Ct, Miami, FL 33156-2000 | 2013-04-14 |
| 1851657019 | Roderick D Cousins | Emergency Medicine | 11750 Sw 40th St., Miami, FL 33175 | 2012-04-02 |
| 1508137563 | Jeffrey Bettinger | Emergency Medicine | 2000 S Bayshore Dr, Villa 45, Miami, FL 33133-3256 | 2012-01-23 |
| 1164728929 | Claire Holekamp | Emergency Medicine | 300 S Biscayne Blvd Apt 3408, Miami, FL 33131-5379 | 2011-01-26 |
| 1710290572 | Modinat Balogun | Emergency Medicine | 2020 N Bayshore Dr Apt 2205, Miami, FL 33137 | 2010-07-22 |
| 1790003051 | Suzanne Nicole Bialeck | Emergency Medicine | 13837 Sw 109th Ln, Miami, FL 33186-3269 | 2010-05-12 |
| 1427288109 | Kristine Mascarinas | Emergency Medicine | 14150 Sw 136th St, Miami, FL 33186-5506 | 2009-07-16 |
| Find all providers in MIAMI | ||||
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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.