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Deactivated NPI 1497932735 Deactivated / Inactive NPI Male Practitioner

Kevin Carl O'connor , PA

Physician Assistant • Sarasota, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kevin O'connor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 29, 2008
NPI Deactivation Date February 09, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Kevin O'Connor, PA was a registered Physician Assistant practicing in Sarasota, FL. Throughout an active medical career spanning 13 years, Kevin O'Connor provided care at the practice location at 1540 S TAMIAMI TRL until profile deactivation on 2021-02-09.

Historical Medicare Part B clinical services included established patient outpatient office visit, insertion of needle into vein for collection of blood sample, routine ekg using at least 12 leads including interpretation and report. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1540 S Tamiami Trl
Suite 401

Sarasota, FL 342392921

Telephone 9419170060
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sarasota, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
178 Specialists

Practicing in Sarasota, FL (10376 Statewide)

Telehealth Adoption Rate
3.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 31 $297.00 $92.19
36415 Insertion of needle into vein for collection of blood sample
26 25 $23.00 $2.94
93000 Routine ekg using at least 12 leads including interpretation and report
15 15 $51.00 $14.42
80061 Blood test, lipids (cholesterol and triglycerides)
12 12 $91.00 $14.58

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9104093

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Alyssa Rowe , MSN, ARNP, NP-C

Nurse Practitioner - Family

NPI 1033454400

Master of Science in Nursing, Advanced Registered Nurse Practitioner, Nurse Practitioner (Certified)

NPI 1073302014

Advanced Practice Registered Nurse, Family Nurse Practitioner

Sonya Ivanova , PA-C

Physician Assistant

NPI 1083477822

Physician Assistant (Certified)

Nancy Von Waldner , PA-C

Physician Assistant

NPI 1124501044

Physician Assistant (Certified)

NPI 1124516810

ARNPBC

Jason Gursky , APRN

Nurse Practitioner - Adult Health

NPI 1184175499

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated February 09, 2021

Record deactivated on February 09, 2021

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Updated Practice Location September 04, 2019

Registered at 600 NOKOMIS AVE S STE 102&203, VENICE, FL 34285 (Tel: 9414866979)

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Updated Business Mailing Address September 04, 2019

Registered at 600 NOKOMIS AVE S STE 102&203, VENICE, FL 342853209 (Tel: 9414866979)

NPI Profile Active March 24, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2009

Registered at 1540 S TAMIAMI TRL, SUITE 401, SARASOTA, FL 342392921 (Tel: 9419170060)

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Updated Business Mailing Address March 24, 2009

Registered at 1540 S TAMIAMI TRL, SUITE 401, SARASOTA, FL 342392921 (Tel: 9419170060)

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Provider Name / Credentials Updated March 24, 2009

Recorded as KEVIN O'CONNOR, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2009

Physician Assistant (License #PA9104093 in FL)

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Initial NPI Registration & Enumeration January 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497932735
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2008
Last Update: March 24, 2009
Deactivation Date: February 09, 2021

Mailing Address

1540 S Tamiami Trl, Suite 401

Sarasota, FL 342392921

Phone: 9419170060

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.