KEVIN WILLIAM O'CONNELL (NPI# 1104469477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104469477 |
| Entity Type | Individual |
| Full Name | KEVIN WILLIAM O'CONNELL |
| Practice Address |
325 Cedar Ridge Dr Glastonbury CT 06033-1817 |
| Practice Telephone | 8609303053 |
| Mailing Telephone | 8609303053 |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2019-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841704285 | Kevin Bryon O'connell | Massage Therapist | 370 Middletown Blvd Ste 508, Langhorne, PA 19047-1840 | 2017-11-21 |
| 1710012497 | Kevin M O'connell | Dentist | 149-4 East Main Street, Clinton, CT 06413 | 2007-02-22 |
| 1588701791 | Kevin James O'connell | Counselor | 16 Bayview Rd, Durham, NH 03824-2406 | 2007-01-30 |
| 1639141807 | Kevin M O'connell | Emergency Medicine | 7102 Mineral Point Road, Madison, WI 53717-1706 | 2006-02-02 |
| 1245554971 | Kevin M O'connell | Occupational Therapist | 635 Belle Terre Rd, Suite 105, Port Jefferson, NY 11777-1935 | 2010-03-24 |
| 1720262686 | Kevin A. O'connell | Otolaryngology | 400 N Main St, Warsaw, NY 14569-1025 | 2007-12-27 |
| 1194755702 | Kevin J O'connell | Family Medicine | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2006-07-03 |
| 1396705950 | Kevin J O'connell | Dentist | 1100 Tunnel Rd, Attn Dental Clinic, Asheville, NC 28805-2043 | 2006-03-27 |
| 1295703858 | Kevin J O'connell | Urology | 911 E 20th St Ste 501, Sioux Falls, SD 57105-1047 | 2006-03-09 |
| 1447225941 | Kevin P. O'connell | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-02-20 |
| Street Address |
325 CEDAR RIDGE DR |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167351 | Connecticut Children's Eye Care, P.C. | Physician Assistant | 131 New London Tpke Ste 200, Glastonbury, CT 06033-2246 | 2020-09-08 |
| 1407474430 | Samantha Ann Couillard | Physician Assistant | 315 Woodfield Xing, Glastonbury, CT 06033-1464 | 2020-07-07 |
| 1144530197 | Kristen Labrencis Mccartney | Physician Assistant | 42 Shady Hill Ln, Glastonbury, CT 06033-1847 | 2010-10-08 |
| 1114939485 | Daniel G Mussen | Physician Assistant | 320 Western Blvd., Glastonbury, CT 06033-1053 | 2006-08-13 |
| 1215423710 | Julie Forster | Physician Assistant | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | 2018-07-08 |
| 1760856835 | Alison Mcpherson Turkowski | Physician Assistant | 210 New London Tpke, Glastonbury, CT 06033-2235 | 2015-11-30 |
| 1396151619 | Christopher Frank Mercier | Physician Assistant | 300 Hebron Ave, Suite 113, Glastonbury, CT 06033-2176 | 2014-07-08 |
| 1184051344 | Christopher John Dillon | Physician Assistant | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | 2013-10-02 |
| 1962743872 | Lindsey Roncaioli | Physician Assistant | 320 Western Blvd, Suite 104, Glastonbury, CT 06033-1259 | 2013-03-04 |
| 1134320518 | Geoffrey P Robinson | Physician Assistant | 676 Hebron Ave, Glastonbury, CT 06033-2410 | 2007-05-31 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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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.