| Kevin M O'connor, MD | |
|
88 E Newton St, Boston, MA 02118-2308 | |
| (618) 628-6610 | |
| Not Available |
| Full Name | Kevin M O'connor |
|---|---|
| Gender | Male |
| Speciality | Radiology - Neuroradiology |
| Location | 88 E Newton St, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124281001 | NPI | - | NPPES |
| 3150825 | Medicaid | NH | |
| 110093973A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 254468 (Massachusetts) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 236230 (Massachusetts) | Secondary |
| Entity Name | Diagnostic Imaging Nw Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396787727 PECOS PAC ID: 9638071061 Enrollment ID: O20040124000329 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
| Entity Name | Central Illinois Radiological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20161011003078 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20201022002229 |
| Entity Name | Charlotte Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649220443 PECOS PAC ID: 4587577390 Enrollment ID: O20210120000414 |
| Entity Name | The Hill Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154310415 PECOS PAC ID: 2062301518 Enrollment ID: O20210226001505 |
| Entity Name | Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851373435 PECOS PAC ID: 9436045259 Enrollment ID: O20210317000342 |
| Entity Name | Rome Radiology Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952330615 PECOS PAC ID: 8921091695 Enrollment ID: O20210511003195 |
| Entity Name | Spectrum Medical Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164881652 PECOS PAC ID: 1355647595 Enrollment ID: O20220505000581 |
| Entity Name | Norton Clark Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083098651 PECOS PAC ID: 0840504114 Enrollment ID: O20221004003289 |
| Entity Name | Radiant Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437583200 PECOS PAC ID: 7113145558 Enrollment ID: O20221222002561 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M O'connor, MD 960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2905 Ph: (617) 414-5405 | Kevin M O'connor, MD 88 E Newton St, Boston, MA 02118-2308 Ph: (618) 628-6610 |
Jennifer Michelle Thomas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Radiology, Boston, MA 02115 Phone: 617-732-6248 | |
Justin Sardi, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-2000 | |
Dr. Meghavi Mashar, MB BCHIR Radiology Medicare: Not Enrolled in Medicare Practice Location: 330 Brookline Ave, Boston, MA 02215 Phone: 617-667-7000 | |
Rafeeque A Bhadelia, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Bidmc Wcc90, Boston, MA 02215 Phone: 617-754-2058 Fax: 617-754-2004 | |
Dr. Srinivasan Mukundan Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 75 Francis St, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-7260 | |
Raymond W Liu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Grb 293, Boston, MA 02114 Phone: 917-923-2079 | |
Dr. Hillary R. Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Grb-273a, Boston, MA 02114 Phone: 617-726-8320 Fax: 617-724-3338 |