1. Home
  2. Directory
  3. Illinois
  4. Pontiac
  5. Podiatrist
  6. NPI Profile

SCOTT O'CONNOR, DPM
NPI 1497054720
Podiatrist in Pontiac, IL

Active since March 25, 2011
1512 W REYNOLDS ST STE A, PONTIAC, IL 61764(815) 842-6551(815) 844-4106 Get Directions Write a Review

NPPES record last updated: March 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott O'connor, Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT O'CONNOR, DPM (NPI 1497054720) is a healthcare organization registered as a podiatrist in Pontiac, Illinois and active in the NPI registry since March 2011. The organization lists John Hesse, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1497054720
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePREMIER MEDICAL GROUP, LLC
Location Address1512 W REYNOLDS ST STE APontiac, IL 61764-9788
Mailing Address1512-a ReynoldsPontiac, IL 61764-1745 · (815) 842-6551 · Fax (815) 844-4106
Phone(815) 842-6551
Fax(815) 844-4106
Organization SubpartNo
Authorized OfficialJohn HesseExecutive Administrator · (309) 662-6200
Enumeration DateMarch 25, 2011
✔ NPI 1497054720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 016-005106
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1512 W REYNOLDS ST STE A, Pontiac, IL 61764
Open in Google Maps ↗

Other Names 1

Doing Business AsScott O'connor, Dpm

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT B O'CONNOR D.P.M.
Podiatrist (Foot & Ankle Surgery)
1512 W REYNOLDS ST STE A
PONTIAC, IL 61764
Livingston County (815) 842-6551

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 Premier Medical Group, LLC's NPI number?

The NPI number for Premier Medical Group, LLC is 1497054720. It was assigned to this organization in the NPPES registry on March 25, 2011. The provider is doing business as Scott O'connor, Dpm.

Where is Premier Medical Group, LLC located?

Premier Medical Group, LLC is located at 1512 W Reynolds St Ste A, Pontiac, IL 61764. The listed phone number is (815) 842-6551.

What is Premier Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Premier Medical Group, LLC was last updated on March 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.