DR. JEFFREY ROBERT O'CONNOR (NPI# 1528166766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528166766 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ROBERT O'CONNOR |
| Practice Address |
309 E Farwell Rd Ste 204 Spokane WA 99218-8207 |
| Mailing Address |
309 E Farwell Rd Ste 204 Spokane WA 99218-8210 |
| Practice Telephone | 5093850600 |
| Practice Fax Number | 5094664798 |
| Mailing Telephone | 5093850600 |
| Mailing Fax Number | 5094664798 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD000018303 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICAID | 1029367 | 01 |
| WA | WASHINGTON STATE LICENSE | MD 000018303 | 01 |
| WA | 1089200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730345117 | Jeffrey Michael O'connor | Physician Assistant | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2008-08-05 |
| 1528011830 | Jeffrey Lawrence O'connor | Urology | 22250 Providence Dr, Suite 203, Southfield, MI 48075-4825 | 2006-05-18 |
| Street Address |
309 E FARWELL RD STE 204 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-8207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053307298 | Stephen Patrick Anthony | Internal Medicine | 309 E Farwell Rd, Suite 100, Spokane, WA 99218-8202 | 2005-09-22 |
| 1982064507 | Kerrin Michele Sorrie | Nurse Practitioner | 309 E Farwell Rd, Suite 100, Spokane, WA 99218-8210 | 2016-02-24 |
| 1295114346 | Wandermere Occupational Medicine Pllc | Clinic/Center | 309 E Farwell Rd, Suite204, Spokane, WA 99218-8210 | 2015-05-22 |
| 1760890677 | Hannah N Lee Hunter | Physical Therapist | 309 E Farwell Rd, Ste 104, Spokane, WA 99218-8210 | 2014-07-24 |
| 1912273293 | Andrew Rowley | Specialist/Technologist | 309 E Farwell Rd, Spokane, WA 99218-8202 | 2012-03-30 |
| 1760786933 | Oconnor Family Medicine Pllc | Family Medicine | 309 E Farwell Rd, 204, Spokane, WA 99218-8207 | 2011-01-03 |
| 1154645190 | Northwest Neurology, Pllc | Psychiatry & Neurology | 309 E Farwell Rd, Suite 204, Spokane, WA 99218-8210 | 2010-03-19 |
| 1356501811 | Rebecca Jean Leestma | Massage Therapist | 309 E Farwell Rd, 206, Spokane, WA 99218-8202 | 2008-06-09 |
| 1851492771 | Daniel J Depner | Physician Assistant | 309 E Farwell Rd, Ste 204, Spokane, WA 99218-8207 | 2006-09-25 |
| 1437123239 | Michael L Kistler | Physical Therapist | 309 E Farwell Rd, Suite 104, Spokane, WA 99218 | 2006-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916953 | Bavihealth | Family Medicine | 1314 S. Grand Blvd, Ste 2 #142, Spokane, WA 99202-2131 | 2020-03-08 |
| 1407487648 | Direct Primary Care | Family Medicine | 212 E Central Ave Ste 360, Spokane, WA 99208-4502 | 2020-01-27 |
| 1710234190 | Mayfield Family Medicine Pllc | Family Medicine | 5901 N Lidgerwood St Ste 127, Spokane, WA 99208-1122 | 2012-08-06 |
| 1427329762 | Charles Robert Wolfe | Family Medicine | 16320 E Lincoln Rd, Spokane, WA 99217-9571 | 2012-01-18 |
| 1952687386 | Providence Phsyician Services | Family Medicine | 1919 S. Grand Blvd., Spokane, WA 99203 | 2011-10-31 |
| 1295016145 | Providence Physician Services Co | Family Medicine | 801 W. 5th Ave, Suite 307, Spokane, WA 99204 | 2011-09-06 |
| 1548552326 | Providence Physician Service Co | Family Medicine | 1919 S Grand Ave, Pmg Providence Family Medicine South Grand, Spokane, WA 99204 | 2011-05-11 |
| 1104125418 | David Raymond O'brien | Family Medicine | 1907 W Summit Pkwy Apt 306, Spokane, WA 99201-3133 | 2011-03-25 |
| 1144540915 | Elizabeth A. Turner, Md | Family Medicine | 316 W. Boone, Suite 669, Spokane, WA 99201-2354 | 2010-06-03 |
| 1083949374 | Opportunity Medical | Family Medicine | 16201 E. Indiana Ave, Ste 2300, Spokane, WA 99216-2839 | 2009-10-05 |
| Find all providers in SPOKANE | ||||
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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.