Individual
JOHN A O'CONNOR IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-8588
(513) 475-8598
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-0001
(513) 585-5505
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35 125599
OH
207VG0400X
Gynecology Physician
35 125599
OH
207VG0400X
Gynecology Physician
H6479
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119064
—
OH
05
—
148480001
—
TX
Enumeration date
02/22/2006
Last updated
11/17/2017
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