TIMOTHY ROGERS OCONNELL (NPI# 1689685786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689685786 |
| Entity Type | Individual |
| Full Name | TIMOTHY ROGERS OCONNELL |
| Credential | MD |
| Practice Address |
621 South New Ballas Road Suite 6003b Saint Louis MO 63141 |
| Practice Telephone | 3149912151 |
| Practice Fax Number | 3149912742 |
| Mailing Telephone | 3149912151 |
| Mailing Fax Number | 3149912742 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 34187 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP HEALTH PLANS | 6960V41192 | 01 | |
| MERCY HEALTH PLANS | A11093 | 01 | |
| HUMANA GOLD CHOICE | 000004321 | 01 | |
| CIGNA | 3066028001 | 01 | |
| RAILROAD MEDICARE | 240007863 | 01 | |
| CARE MANAGEMENT RESOURCE | 6960V41192 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720112568 | Timothy J Oconnell | Psychologist | 615 W Mount Pleasant Ave, Livingston, NJ 07039-1620 | 2007-03-15 |
| 1194766618 | Timothy J Oconnell | Radiology | 201 Norfolk Ave, Clarendon Hills, IL 60514-1146 | 2006-06-08 |
| 1942370226 | Timothy Andrew Oconnell | Obstetrics & Gynecology | 12706 Mcmanus Blvd, Newport News, VA 23602-4460 | 2006-11-08 |
| Street Address |
621 SOUTH NEW BALLAS ROAD SUITE 6003B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942211065 | Midwest Plastic & Hand Surgery Inc | Plastic Surgery | 621 South New Ballas Road, Suite 6003b, Saint Louis, MO 63141 | 2006-08-11 |
| 1225143480 | Timothy James Oldani | Podiatrist | 621 South New Ballas Road, Suite 7005b, Saint Louis, MO 63141-8275 | 2006-08-20 |
| 1598776601 | David Scott German | Plastic Surgery | 621 South New Ballas Road, Suite 6003b, Saint Louis, MO 63141 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972954345 | Bryce Decidue Stash | Plastic Surgery | 1720 Chouteau Ave, Saint Louis, MO 63103-3112 | 2016-06-28 |
| 1972732089 | Michael Joseph Franco | Plastic Surgery | 4100 Forest Park Ave Apt 410, Saint Louis, MO 63108-2891 | 2009-07-09 |
| 1942211065 | Midwest Plastic & Hand Surgery Inc | Plastic Surgery | 621 South New Ballas Road, Suite 6003b, Saint Louis, MO 63141 | 2006-08-11 |
| 1790766186 | Kamlesh B Patel | Plastic Surgery | 4921 Parkview Pl Ste 6g, Ste 6g, Saint Louis, MO 63110-1032 | 2005-11-11 |
| 1942811435 | Stahs Pripotnev | Plastic Surgery | 4921 Parkview Pl Ste 6g, Saint Louis, MO 63110-1032 | 2020-08-10 |
| 1821614652 | Erin Peterson | Plastic Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-06-17 |
| 1871147876 | Blair Peters | Plastic Surgery | 4921 Parkview Pl Ste 6g, Saint Louis, MO 63110-1032 | 2019-07-29 |
| 1346801891 | Damini Tandon | Plastic Surgery | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-06-25 |
| 1639739717 | Alexandra Marie Keane | Plastic Surgery | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-06-19 |
| 1275027328 | Danielle Jere Brown | Plastic Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-06-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.