RICHARD PHILLIP OCONNOR MD NPI 1457462467

NPI Information

NPI: 1457462467
Provider Name: RICHARD PHILLIP OCONNOR, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
4070 LAKE DR SE
STE 201
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 774-8200
Get Directions

Richard Phillip Oconnor, MD is a nephrology internal medicine in Grand Rapids, MI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Richard Phillip Oconnor, MD NPI is 1457462467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4070 LAKE DR SE
STE 201
GRAND RAPIDS, MI
ZIP 49546-294
Phone: (616) 774-8200
Fax: (616) 774-0304

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/26/2008.

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	207RN0300X	Internal Medicine	Nephrology	RO044045	MICHIGAN	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	Other Provider Identifier Issuer
1	A76468	MEDICARE UPIN	MICHIGAN
2	3371432	MEDICAID	MICHIGAN
3	044045	OTHER	MICHIGAN	MEDICAL LICENSE

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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