Timothy P Oconnor in Peoria - Transplant Surgery
Timothy P Oconnor - NPI 1710974597
Timothy P Oconnor is a Transplant Surgery in Peoria, Illinois. Timothy P Oconnor practices all healthcare services and medical treatments related to Transplant Surgery. The NPI Number for Timothy P Oconnor is 1710974597. The last update date is 2021-11-15.
Timothy P Oconnor's current location address is 420 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096768123 and fax number 3096768455. The mailing address for Timothy P Oconnor is 420 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy P Oconnor |
|---|---|
| Address | 420 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096768123 |
| Fax Number | 3096768455 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710974597 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2021-11-15 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033168 |
| Phone Number | 3096768123 |
| Fax Number | 3096768455 |
Provider's Primary Taxonomy Detail
| Speciality | Transplant Surgery |
|---|---|
| Taxonomy | 204F00000X |
| Licence No | 36090699 |
|
Definition: A surgeon who specializes in transplant surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36090699 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy P Oconnor by the Centers for Medicare & Medicaid Services?
The Timothy P Oconnor has been issued the NPI (National Provider Identifier) 1710974597, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Timothy P Oconnor is physically located?
The Timothy P Oconnor is situated at the following address: 420 Ne Glen Oak Ave, Peoria, IL 616033168.
What is Timothy P Oconnor's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy P Oconnor's area of specialization is Transplant Surgery, and the corresponding taxonomy code that categorizes this field of practice is 204F00000X.
On what date did the Timothy P Oconnor receive the assignment of its 1710974597 from the Centers for Medicare & Medicaid Services?
The Timothy P Oconnor was issued its 1710974597 by the Centers for Medicare & Medicaid Services on 2005-10-05.
As of what date were the details pertaining to Timothy P Oconnor last refreshed?
The information related to the Timothy P Oconnor, including its address, specialty, and other relevant details, was last updated on 2021-11-15.