John O'Connor
John O'Connor is a Nurse Practitioner in Troy, Michigan. Qualified in 2021, 5 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 5
- Licensed in
- MI
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
44201 Dequindre RdTroy, MI 48085-1117
Phone: (248) 964-8193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 4704285734 (MI) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 4704285734 (MI) |
Record details
| NPI number | 1447832316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2021 |
| Last updated in NPPES | November 2, 2023 |
| Certification date | November 2, 2023 |
| Mailing address | 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Beaumont Medical Group- Specialty Services — 858 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Troy
-
Mr. Brian Michael Matyniak, ACNP-BC
44201 Dequindre Rd, Troy, MI 48085-1117 · (248) 964-8432
-
Samantha Mindell, MSN, RN, ACNPC-AG
4600 Investment Dr Ste 200, Troy, MI 48098-6375 · (248) 267-5050
-
Michael Edwards Moon
44201 Dequindre Rd, Troy, MI 48085-1117 · (248) 964-5000
-
Carolyn Ann Moscone
5440 Corporate Dr Ste DR, Troy, MI 48098-2646 · (866) 902-4000
-
Misty F Ruff
915 Robinwood Dr, Troy, MI 48083-1846 · (248) 571-5970
-
Hussein Shahine
44201 Dequindre Rd, Troy, MI 48085-1117 · (248) 964-5000
-
Mrs. Carla Elyse Shock, RN, MSN, APRN-BC
44201 Dequindre Rd, Troy, MI 48085-1117 · (248) 964-5000
-
Zoe Grace Sims
5440 Corporate Dr Ste 400, Troy, MI 48098-2645 · (866) 902-4000