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Contact Information

TIMOTHY R OCONNELL, MD
621 SOUTH NEW BALLAS ROAD
SUITE 6003B
SAINT LOUIS, MO63141
 Phone: 314-991-2151
 Fax: 314-991-2742
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY R OCONNELL · (Male)

NPI Number 1689685786
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 09/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 34187
  • Other 6960V41192 CARE MANAGEMENT RESOURCE
  • Other 3066028001 CIGNA
  • Other 6960V41192 GROUP HEALTH PLANS
  • Other 000004321 HUMANA GOLD CHOICE
  • Other A11093 MERCY HEALTH PLANS
  • Other 240007863 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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