1164225173 NPI number — DR. NICHOLAS PATRICK O'CONNOR MD

Table of content: DR. NICHOLAS PATRICK O'CONNOR MD (NPI 1164225173)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164225173 NPI number — DR. NICHOLAS PATRICK O'CONNOR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
O'CONNOR
Provider First Name:
NICHOLAS
Provider Middle Name:
PATRICK
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
OCONNOR
Provider Other First Name:
NICHOLAS
Provider Other Middle Name:
PATRICK
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1164225173
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
525 JOSEPH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70115-2039
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-525-2490
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1401 JEFFERSON HIGHWAY
Provider Second Line Business Practice Location Address:
ACADEMIC CENTER, 1ST FLOOR
Provider Business Practice Location Address City Name:
JEFFERSON
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-842-3260
Provider Business Practice Location Address Fax Number:
504-842-3192
Provider Enumeration Date:
03/27/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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