DR. LUKE E O'CONNOR


Address: 23 Ellington Ave, Po 878 Willimantic Ct 06022, Ellington, CT 06029
Phone: 8608751635

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
8399 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 23 ELLINGTON AVE
PO 878 WILLIMANTIC CT 06022
City ELLINGTON
State CT
Zip Code 06029

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1821420977 Just Breathe Connecticut, LLC Counselor 4 West Rd, Ellington, CT 06029 2013-07-31
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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
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

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

Providers in the same taxonomy and state

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

Competitor

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City ELLINGTON
Zip Code 06029

Improve Information

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Dataset Information

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.

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