BONNIE O OCONNOR PA C NPI 1033199948

NPI Information

NPI: 1033199948
Provider Name: BONNIE O OCONNOR, PA C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
4745 OGLETOWN STANTON RD
SUITE 225
NEWARK, DE
ZIP 19713
Phone: (302) 731-2888
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Bonnie O Oconnor, PA C is a surgical physician assistant in Newark, DE with 33 years of experience. Bonnie O Oconnor, PA C NPI is 1033199948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4745 OGLETOWN STANTON RD
SUITE 225
NEWARK, DE
ZIP 19713
Phone: (302) 731-2888
Fax: (302) 731-7049

The NPI 1033199948 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 4/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		C50000144	DELAWARE	No
2	363AS0400X	Physician Assistant	Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	R29300	MEDICARE UPIN
2	0000499843	MEDICAID	DELAWARE
3	095479F17	MEDICARE ID-TYPE UNSPECIFIED	DELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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