DR. KEVIN A. O'CONNELL (NPI# 1720262686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720262686 |
| Entity Type | Individual |
| Full Name | DR. KEVIN A. O'CONNELL |
| Credential | M.D. |
| Practice Address |
400 N Main St Warsaw NY 14569-1025 |
| Practice Telephone | 5857861555 |
| Practice Fax Number | 5857867983 |
| Mailing Telephone | 5857861555 |
| Mailing Fax Number | 5857867983 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2017-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
191328 | NY | Allopathic & Osteopathic Physicians |
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
041918 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAIL ROAD MEDICARE | 040013774 | 01 |
| NY | NYS DEA | BO4966733 | 01 |
| GA | 000711301A | 05 | |
| NY | NYS MEDICAL LICENSE | 191328 | 01 |
| GA | BLUE CROSS BLUE SHIELD | 584912 | 01 |
| GA | WELLCARE | 308584 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469477 | Kevin William O'connell | Physician Assistant | 325 Cedar Ridge Dr, Glastonbury, CT 06033-1817 | 2019-10-19 |
| 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 |
| 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 |
400 N MAIN ST |
| City | WARSAW |
| State | NY |
| Zip Code | 14569-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516985 | Roseanne Oliverio | Radiology | 400 N Main St, Warsaw, NY 14569-1025 | 2005-05-24 |
| 1346878295 | Jacquelyn Janes | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-03-27 |
| 1780219774 | Dumadi Fernandez | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-03-10 |
| 1184258782 | Michelle Mary Zeches O'neil | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-02-24 |
| 1417580341 | Susan Schell | Dietitian, Registered | 400 N Main St, Warsaw, NY 14569-1025 | 2020-02-19 |
| 1124589445 | Wyoming County | Orthopaedic Surgery | 400 N Main St, Warsaw, NY 14569-1025 | 2019-03-28 |
| 1134683519 | Wyoming County | Otolaryngology | 400 N Main St, Warsaw, NY 14569-1025 | 2019-01-30 |
| 1598229080 | Wyoming County | Psychiatry & Neurology | 400 N Main St, Warsaw, NY 14569-1025 | 2019-01-29 |
| 1619446903 | Bridget Lynn Givens | Social Worker | 400 N Main St, Warsaw, NY 14569-1025 | 2018-11-16 |
| 1891263794 | Wyoming County | Clinic/Center | 400 N Main St, Warsaw, NY 14569-1025 | 2018-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
| 1215576806 | Danielle Lynn Kwiecien | Physical Therapist | 400 N Main Warsaw Ny 14569, Warsaw, NY 14569 | 2019-12-30 |
| 1295975415 | Brandie Rajk-winter | Counselor | 433 North Main St., Warsaw, NY 14569 | 2009-02-27 |
| 1104048511 | Anthony Emmanuel Trigenis | Internal Medicine | 2 Karaoli St, Anixis, ATTIKIS 14569 | 2007-05-03 |
| 1477680908 | Nancy L. Mcnair | Occupational Therapy Assistant | 400 N. Main Street, Warsaw, NY 14569 | 2007-02-28 |
| 1821173360 | Carolyn Kate Schofield | Speech-Language Pathologist | 400 North Main St, Wyoming County Community Hospital, Warsaw, NY 14569 | 2006-10-25 |
| 1871673665 | Pamela Zola | Speech-Language Pathologist | Wyoming County Community Hospital, 400 North Main Street, Warsaw, NY 14569 | 2006-10-16 |
| 1538101696 | Dharam Paul Singla | Internal Medicine | 38 Duncan St, Suite 3, Warsaw, NY 14569 | 2006-06-12 |
| 1154386142 | Rajendrakumar M Patel | Internal Medicine | 5 Salina St, Warsaw, NY 14569 | 2006-04-20 |
| 1104881770 | Warsaw Ob Gyn PC | Obstetrics & Gynecology | 408 North Main St, Warsaw, NY 14569 | 2006-04-18 |
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| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881763969 | Richard S Silverman | Otolaryngology | 1619 Genesee St, Utica, NY 13501-4732 | 2006-11-06 |
| 1326595547 | W. Matthew White, Md, Pllc | Otolaryngology | 800a 5th Ave, Suite 202, New York, NY 10065-7215 | 2016-09-06 |
| 1134485824 | Richard Hughes Md Ent PC | Otolaryngology | 383 Bay Rd, Queensbury, NY 12804-1405 | 2012-04-06 |
| 1699891416 | Dimitry Rabkin, M.d., P.C. | Otolaryngology | 202 Quentin Rd, 1st Floor, Brooklyn, NY 11223-1475 | 2007-03-22 |
| 1093862369 | Norbert J Szymula Md PC | Otolaryngology | 115 Professional Pkwy, Lockport, NY 14094-5369 | 2007-01-05 |
| 1962588194 | Cny Medicine & Allergy PC | Otolaryngology | 7900 Turin Rd, Beeches Professional Campus, Rome, NY 13440-1900 | 2006-10-31 |
| 1457437063 | Barry O. Maisel, Md | Otolaryngology | 414 Maple Ave, Suite 600, Saratoga Springs, NY 12866-5550 | 2006-10-27 |
| 1801971817 | Family Ear Nose and Throat Care PC | Otolaryngology | 5010 State Highway 30, Suite 204, Amsterdam, NY 12010 | 2006-10-26 |
| 1538182761 | William Reisacher | Otolaryngology | 520 E 70th St, St-541, New York, NY 10021-9800 | 2006-07-26 |
| 1619951845 | Lawrence W Krieger | Otolaryngology | 5700 W Genesee St, Medical Center West #215, Camillus, NY 13031-3200 | 2005-12-01 |
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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.