# DR. TIMOTHY ALLEN O'CONNOR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215016621
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | R9H49 | MO | Yes |

## Other

- **Enumeration date:** 11/04/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 106571 | ANTHEM BCBS PIN | MO |
| 01 | — | 10894794 | CAQH PROVIDER ID | — |
| 01 | — | 289639 | HEALTHLINK PIN | — |
| 01 | — | 3837 | HEALTHCARE USA PIN | — |