Elizabeth A O'Connor · Plastic and Reconstructive Surgery Physician

2605 Development Dr, Green Bay, WI 54311-4240

Overview

Elizabeth A O'Connor is a Plastic and Reconstructive Surgery Physician practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1851411854, which was assigned on March 31, 2007, and the registration record was last updated on December 5, 2024. The practitioner's main practice location is at 2605 Development Dr, Green Bay, WI 54311-4240; the contact telephone number is 9202888240, and the fax number is 9202888255. The primary taxonomy of Elizabeth A O'Connor is Plastic and Reconstructive Surgery Physician (2086S0122X), with specialization in Plastic and Reconstructive Surgery. Elizabeth A O'Connor is licensed to practice in the state of Wisconsin (#52442).

A surgeon who specializes in plastic and reconstructive surgery.

Provider Information

NPI 1851411854
Entity Type Individual
Provider Name DR. ELIZABETH A O'CONNOR
Gender Female
Credential M.D.
Practice Address 2605 Development Dr
Green Bay
WI 54311-4240
Practice Telephone 9202888240
Practice Fax Number 9202888255
Mailing Address 1035 Kepler Dr
Green Bay
WI 54311-8320
Mailing Telephone 9204909046
Certification Date 2024-12-05
Enumeration Date 2007-03-31
Last Update Date 2024-12-05
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 7315188927
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name ELIZABETH A OCONNOR
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Organization Legal Name BAYCARE CLINIC LLP
Address 2605 Development Dr
Green Bay
WI 54311-4240

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y2086S0122XSurgeryPlastic and Reconstructive Surgery52442WI

Taxonomy Information

Primary Taxonomy

Code 2086S0122X
Taxonomy Plastic and Reconstructive Surgery Physician
Classification Surgery
Specialization Plastic and Reconstructive Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Arizona Reconstructive Associates PLLC 5410 N Scottsdale Rd Ste A200, Paradise Valley, AZ 85253-5958Plastic and Reconstructive Surgery Physician2025-08-18
Elite Wound Care Md, LLC 2023 N Mason Rd Ste 203, Katy, TX 77449-3779Plastic and Reconstructive Surgery Physician2025-06-20
Moderna Surgical Center, LLC 12425 Morris Rd Ste B, Alpharetta, GA 30005-4137Plastic and Reconstructive Surgery Physician2025-06-12
Daniel Murariu Consulting LLC 405 N Kuakini St Ste 1001, Honolulu, HI 96817-6301Plastic and Reconstructive Surgery Physician2025-07-30
Alexander Chase Castillo 6316 N 10th St, Mcallen, TX 78504-3599Plastic and Reconstructive Surgery Physician2025-08-20
Nicholas Thu Khoa Do Md Inc 8231 Westminster Blvd, Westminster, CA 92683-3364Plastic and Reconstructive Surgery Physician2025-09-26
Sanela Pjetrovic 800a 5th Ave, New York, NY 10065-7215Plastic and Reconstructive Surgery Physician2025-07-14
Miami Foundation for Science and Medicine Inc. 6705 Sw 57th Ave Ste 516, South Miami, FL 33143-3649Plastic and Reconstructive Surgery Physician2025-06-09
Baily Bellamy 4510 Nw 6th Pl, Gainesville, FL 32607-6111Plastic and Reconstructive Surgery Physician2025-09-20
Synergy Global Health Inc. 9070 E Desert Cove Ave # A102, Scottsdale, AZ 85260-6227Plastic and Reconstructive Surgery Physician2025-06-17
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Location Information

Street Address 2605 DEVELOPMENT DR
City GREEN BAY
State WI
Zip Code 54311-4240
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Kelsey Rose Esser · Kelsey Janssen 2605 Development Dr, Green Bay, WI 54311-4240Physician Assistant2024-05-30
Grace Philipp 2605 Development Dr, Green Bay, WI 54311-4240Physician Assistant2025-09-03
Spencer Klein 2605 Development Dr, Green Bay, WI 54311-4240Student in an Organized Health Care Education/Training Program2019-03-25

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Semyon Zarkhin 2617 Development Dr, Green Bay, WI 54311-4240Dermatology Physician2007-07-23
Hannah E Miller · Hannah E Podvin 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2018-08-01
Taylor Lauren Shefchik · Taylor Smiley 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2024-10-02

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Yogesh C Pareek 3150 Gershwin Dr, Green Bay, WI 54311-4328Psychiatry Physician2007-04-16
Kristin A. Anderson-Cronin 3150 Gershwin Dr, Green Bay, WI 54311-4328Registered Nurse2011-03-28
Peter E. Mcmahon · Pete E. Mcmahon 2223 Lime Kiln Rd, Green Bay, WI 54311Physical Therapist2006-07-27
Comunication Pathways LLC 821 S Huron Rd, Suite B, Green Bay, WI 54311Speech-Language Pathologist2013-11-06
Logan Wilz 3150 Gershwin Dr, Green Bay, WI 54311-4328Addiction (Substance Use Disorder) Counselor2023-09-25
Tyler G Luedke 3150 Gershwin Dr, Green Bay, WI 54311-4328Addiction (Substance Use Disorder) Counselor2013-04-08
Nicole Dufek 3150 Gershwin Dr, Green Bay, WI 54311-4328Social Worker2022-09-14
Amritha Chandrahasa Karkera 2845 Greenbrier Rd, Green Bay, WI 54311Hematology & Oncology Physician2010-07-21
Golden Counseling, LLC 2563 Development Dr, Green Bay, WI 54311-4246Community/Behavioral Health Agency2025-06-19
Helga Aquino Meyer · Helga Aquino Perpetuo 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2023-08-16
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Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Alexandria Elizabeth Connor 6400 Dutchmans Pkwy Ste 170, Louisville, KY 40205-3340Gynecology Physician2017-04-08
Nathan Andrews Connor · Drew Connor 2520 5th St N, Columbus, MS 39705-2008Internal Medicine Physician2022-03-28
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.