DR. LUKE E O'CONNOR (NPI# 1922215821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922215821 |
Entity Type | Individual |
Full Name | DR. LUKE E O'CONNOR |
Credential | M.D. |
Practice Address |
23 Ellington Ave Po 878 Willimantic Ct 06022 Ellington CT 06029 |
Mailing Address |
24 Ellington Ave Ellington CT 06029-4125 |
Practice Telephone | 8608751635 |
Practice Fax Number | 8608751635 |
Mailing Telephone | 8608751635 |
Mailing Fax Number | 8608751635 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
8399 | CT | Allopathic & Osteopathic Physicians |
Street Address |
23 ELLINGTON AVE PO 878 WILLIMANTIC CT 06022 |
City | ELLINGTON |
State | CT |
Zip Code | 06029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073909487 | Kristen Marie Martel | Behavioral Analyst | 4 Windermere Vlg Dr, Ellington, CT 06029 | 2015-04-13 |
1972747111 | Lauren Jill Powers | Dentist | 17 5 West Road, Ellington, CT 06029 | 2009-04-30 |
1235238643 | Sean Noel | Chiropractor | 105 West Rd Rte 83, Ellington, CT 06029 | 2006-09-22 |
1821420977 | Just Breathe Connecticut, LLC | Counselor | 4 West Rd, Ellington, CT 06029 | 2013-07-31 |
1518270446 | Kerry Lynn Tuttle | Social Worker | 4 West Rd, Ellington, CT 06029 | 2010-07-20 |
1134269004 | Ellington Volunteer Ambulance Corps Inc | Ambulance | 41 Maple St, Ellington, CT 06029-0071 | 2007-02-08 |
1225399108 | Endodontic Specialists LLC | Dentist | 2 Chucrh St # 670, Ellington, CT 06029-0670 | 2012-06-06 |
1821008202 | Stanislav Moline | Dentist | 2 Chucrh St, # 670, Ellington, CT 06029-0670 | 2006-08-09 |
1700267473 | Andrew Michael Janiga | Dentist | 2 Brockway Rd, Ellington, CT 06029-2100 | 2015-06-17 |
1245851013 | Frederick Insler | Counselor | 1 Ellsworth Ln, Ellington, CT 06029-2106 | 2020-05-02 |
Find all providers in zip 06029 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962797696 | Genevieve Montagu Von Walstrom | Internal Medicine | 17 Wall St, Madison, CT 06443-3122 | 2011-06-10 |
1801103858 | Richard N. Goldberg Md, PC | Internal Medicine | 211 New Britain Rd, Suite 206, Kensington, CT 06037 | 2010-09-10 |
1376618611 | Ebenezer Kolade | Internal Medicine | 3851 Main St, Bridgeport, CT 06606-2864 | 2006-11-22 |
1891889010 | Bridget Ann Martell | Internal Medicine | 20 York St., Yale University Section of General Internal Medicine, New Haven, CT 06520 | 2006-10-03 |
1952318214 | Deepa Camenga | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2006-08-01 |
1659340651 | Nermina Bukalo | Internal Medicine | 71 Haynes St, Manchester, CT 06040-4131 | 2006-03-14 |
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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.