MR. CHRISTOPHER ROBERT O'CONNELL (NPI# 1679892434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679892434 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER ROBERT O'CONNELL |
| Credential | PA-C |
| Practice Address |
6001 Manufacturers Dr Ste 110 54th Civil Support Team Madison WI 53704-6207 |
| Mailing Address |
6001 Manufacturers Dr Ste 110 Madison WI 53704-6207 |
| Practice Telephone | 6082458441 |
| Practice Fax Number | 6082458498 |
| Mailing Telephone | 6082458441 |
| Mailing Fax Number | 6082458498 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2012-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2525-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 171000000X | Military Health Care Provider | 2525-023 | WI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255699401 | Christopher Ryan O'connell | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2012-04-25 |
| 1679883722 | Christopher William O'connell | Counselor | 130 Maple St, Springfield, MA 01103-2202 | 2010-10-07 |
| 1275760951 | Christopher M O'connell | Physical Therapist | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2009-06-19 |
| 1295985869 | Christopher Thomas O'connell | Psychologist | 15 Parkman St, Wang 812, Boston, MA 02114-3117 | 2008-09-19 |
| 1598934671 | Christopher S. O'connell | Dermatology | 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146-1837 | 2008-02-22 |
| 1528017878 | Christopher M. O'connell | Family Medicine | 15420 19 Mile Rd, Ste. 200, Clinton Township, MI 48038-6339 | 2006-05-06 |
| Street Address |
6001 MANUFACTURERS DR STE 110 54TH CIVIL SUPPORT TEAM |
| City | MADISON |
| State | WI |
| Zip Code | 53704-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| 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 |
|---|---|---|---|---|
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1194354928 | Shqipe Ademi | Physician Assistant | 5417 Hazelcrest Dr, Madison, WI 53704-8910 | 2020-04-03 |
| 1902432685 | Therese Rowe | Physician Assistant | 1 Point Pl Ste 200, Madison, WI 53719-2836 | 2020-03-13 |
| 1437784139 | Mark Mckinney | Physician Assistant | 750 Highland Ave # Hslc1270, Madison, WI 53705-2221 | 2020-03-03 |
| 1619511706 | Nicole Frakes | Physician Assistant | 750 Highland Ave, Madison, WI 53705-2221 | 2019-10-31 |
| 1508428558 | Martha Busse | Physician Assistant | 1650 Monroe St Apt D, Madison, WI 53711-2045 | 2019-06-30 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1487124020 | Kaitlyn Jolena Mcmackin | Physician Assistant | 120 Fountains Blvd Ste 1000, Madison, MS 39110-6343 | 2018-11-27 |
| 1013493907 | Paulina A Hall | Physician Assistant | 700 S Park St Suite A, Madison, WI 53715-5228 | 2018-07-13 |
| 1700370020 | Mark Diaz IIi | Physician Assistant | 77 S Oakbridge Ct Apt 105, Madison, WI 53717-2030 | 2018-06-20 |
| Find all providers in MADISON | ||||
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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.