Michael James Oconnell (NPI# 1083691885, PAC ID# 3678465689) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1083691885 |
PAC ID by PECOS | 3678465689 |
Professional Enrollment ID | I20100106000651 |
Full Name | Michael James Oconnell |
Address |
17960 Cleveland Rd South Bend IN 46635-1349 |
Gender | M |
Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1976 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
230021 | LAKELAND HOSPITAL, ST JOSEPH |
Address | Phone | Organization |
---|---|---|
17960 Cleveland Rd, South Bend, IN 46635-1349 |
Street Address |
17960 CLEVELAND RD |
City | SOUTH BEND |
State | IN |
Zip | 46635-1349 |
Name | Specialty | Organization | Address |
---|---|---|---|
Auna L Preston | Psychologist, Clinical | Samaritan Family Health and Counseling Center, Inc. | 17195 Cleveland Rd, South Bend, IN 46635-1415 |
Keith Munneke | Clinical Social Worker | Samaritan Family Health and Counseling Center, Inc. | 17195 Cleveland Rd, South Bend, IN 46635-1415 |
Karen M Zusman | Occupational Therapy | Allied Physicians of Michiana, LLC | 6301 University Commons, Suite 430, South Bend, IN 46635-1416 |
Sheryl A Vanheesbeke | Physical Therapy | Allied Physicians of Michiana, LLC | 6301 University Commons, South Bend, IN 46635-1416 |
Thomas James Mango | Orthopedic Surgery | Allied Physicians of Michiana, LLC | 6301 University Commons, Suite 100, South Bend, IN 46635-1416 |
Peter Damien Miller | Interventional Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
Matthew Richard Gillott | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
Ester Petronella J Van Der Wal | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
Lyndsay Alexandra Oancea | Interventional Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
Benjamin L Rase | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
Find all physicians in zip 46635 |
City | SOUTH BEND |
Zip Code | 46635 |
Specialty | FAMILY MEDICINE |
City + Specialty | SOUTH BEND + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.