DR. JUDITH ANN O'CONNELL (NPI# 1306810635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306810635 |
| Entity Type | Individual |
| Full Name | DR. JUDITH ANN O'CONNELL |
| Credential | D.O. |
| Practice Address |
2510 Commons Blvd Suite 240 Beavercreek OH 45431-3820 |
| Practice Telephone | 9374298620 |
| Practice Fax Number | 9374298629 |
| Mailing Telephone | 9374298620 |
| Mailing Fax Number | 9374298629 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 34003222 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0509524 | 05 |
| Street Address |
2510 COMMONS BLVD SUITE 240 |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242534 | Joseph N. Gunasekera | Internal Medicine | 2510 Commons Blvd, Suite 140, Beavercreek, OH 45431-3820 | 2005-06-01 |
| 1407261035 | Specialty Medicine Care, LLC | Internal Medicine | 2510 Commons Blvd, Ste 220, Beavercreek, OH 45431-3820 | 2014-06-23 |
| 1033524673 | Specialty Medicine Care, LLC | Internal Medicine | 2510 Commons Blvd, Ste 230, Beavercreek, OH 45431-3820 | 2014-06-23 |
| 1154756765 | Sheryl Spires | Nurse Practitioner | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3820 | 2013-09-13 |
| 1629412408 | Internal Medicine Care, Inc | Internal Medicine | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3820 | 2013-04-23 |
| 1811242571 | Joseph Robert Crawford | Internal Medicine | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3821 | 2012-07-18 |
| 1134490931 | Alliance Physicians Inc | Internal Medicine | 2510 Commons Blvd, Suite 140, Beavercreek, OH 45431-3820 | 2012-01-25 |
| 1699044081 | April E. Williams | Specialist | 2510 Commons Blvd, Suite 240, Beavercreek, OH 45431-3820 | 2011-12-14 |
| 1104100627 | The Dayton Heart Center, Inc. | Internal Medicine | 2510 Commons Blvd, Suite 125, Beavercreek, OH 45431-3820 | 2011-10-03 |
| 1558643957 | Alliance Physician Inc | Internal Medicine | 2510 Commons Blvd, Suite 140b, Beavercreek, OH 45431-3820 | 2011-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497701890 | Ann Laura Habenicht | Neuromusculoskeletal Medicine & OMM | 2510 Commons Blvd, Ste 240a, Beavercreek, OH 45431 | 2006-05-26 |
| 1649244971 | James Leigh Laub | Neuromusculoskeletal Medicine & OMM | 2510 Commons Blvd, Suite 240, Beavercreek, OH 45431-3820 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023561941 | Eastshore Medical Center LLC | Neuromusculoskeletal Medicine & OMM | 26300 Euclid Ave Ste 333, Euclid, OH 44132-3702 | 2016-07-27 |
| 1144681560 | Zhan Tao Yang | Neuromusculoskeletal Medicine & OMM | 4180 Warrensville Center Rd Bldg A5th, Warrensville Heights, OH 44122-7024 | 2016-03-11 |
| 1548691157 | Thomas C Lin | Neuromusculoskeletal Medicine & OMM | 845 Atalan Trl, Lima, OH 45805-4128 | 2013-12-06 |
| 1548543069 | Yasser Salam | Neuromusculoskeletal Medicine & OMM | 2569 Palmer Cir, Avon, OH 44011-2048 | 2011-09-21 |
| 1548598469 | Simeon Hain | Neuromusculoskeletal Medicine & OMM | 2434 Richmiller Ln Unit E, Belpre, OH 45714-1075 | 2009-12-04 |
| 1730318429 | Mark Thomas Finneran | Neuromusculoskeletal Medicine & OMM | 886 Woodmere, Wooster, OH 44691 | 2009-07-02 |
| 1639326804 | Anna K Wright | Neuromusculoskeletal Medicine & OMM | 26 E Park Dr Ste 115, Athens, OH 45701-5003 | 2008-08-19 |
| 1063500932 | Andreas Herbert Syllaba | Neuromusculoskeletal Medicine & OMM | 1301 Mattec Dr, Loveland, OH 45140-7300 | 2006-10-10 |
| 1164529061 | Charles E Steiner, Do, Inc. | Neuromusculoskeletal Medicine & OMM | 2364 Blizzard Ln Ste A, Albany, OH 45710-9287 | 2006-09-20 |
| 1851498281 | Katrina Cisaruk Rakowsky | Neuromusculoskeletal Medicine & OMM | 4100 Warrensville Center Road, Suite 102, Warrensville Heights, OH 44122-7099 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
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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.