| Gregory Michael O'connor, | |
|
2301 Erwin Rd, Durham, NC 27705-4699 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | Gregory Michael O'connor |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 2301 Erwin Rd, Durham, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164982872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD61669415 (Washington) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2024-01538 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| St Joseph Medical Center | Tacoma, WA | Hospital |
| St Anthony Hospital | Gig harbor, WA | Hospital |
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| St Clare Hospital | Lakewood, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | 3375603970 | 110 |
| Duke Health Integrated Practice Inc | 8325412737 | 3085 |
| Tra-minw P S | 2163316167 | 154 |
| Union Avenue Open Mri Llc | 5597652917 | 44 |
| Entity Name | Tra-minw P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326 |
| Entity Name | Union Avenue Open Mri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189 |
| Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Michael O'connor, 464 E Pettigrew St Apt 523, Durham, NC 27701-4853 Ph: (440) 478-9233 | Gregory Michael O'connor, 2301 Erwin Rd, Durham, NC 27705-4699 Ph: (919) 684-8111 |
Mary Margaret Woodruff, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-6111 | |
Dr. Roger L Cothran Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 | |
Zachary Angel, Radiology Medicare: May Accept Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Jacob Alexander Latreille, Radiology Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Mark Shuo Chen, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 20 Duke Medicine Cir, Durham, NC 27710 Phone: 919-660-2100 | |
Reginald R Pareja, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3022 Croasdaile Dr Ste 101, Durham, NC 27705 Phone: 877-780-5559 | |
Mamata Myneni, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Banner Good Samaritan Medical Center, Durham, NC 27705 Phone: 919-684-8111 |