JACOB BEATTIE O'CONNOR MD, MS
NPI 1104620954
Student in an Organized Health Care Education/Training Program in Little Rock, AR
About Jacob Beattie O'connor Md, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB BEATTIE O'CONNOR MD, MS (NPI 1104620954) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Beattie O'connor Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob O'connor's NPI number?
The NPI number for Jacob O'connor is 1104620954. It was assigned to this individual provider in the NPPES registry on April 2, 2025.
Where is Jacob O'connor located?
Jacob O'connor practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 686-8000.
What is Jacob O'connor's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacob O'connor enrolled in Medicare?
Yes. Jacob O'connor is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacob O'connor was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacob Beattie O'connor, MD, MS · NPI 1104620954
Student in an Organized Health Care Education/Training Program provider in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since April 2, 2025.
## Identity
- **NPI:** 1104620954 (Entity type: Individual)
- **Enumerated:** April 2, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 W MARKHAM ST, Little Rock, AR 72205-7199
- **Phone:** (501) 686-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104620954) · Data from the CMS NPPES public registry.