Active NPI
Sean McConnell, MD
- Obstetrics & Gynecology Physician
- Media, PA
National Provider Identifier
1013123249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MT185998
- Practice address
- 1088 W Baltimore Pike
HCC II, Suite 2303
Media, PA 19063-5146 - Phone
- (610) 627-4400
- Fax
- (610) 627-4408
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MT185998 | PA | Primary |
Addresses
Primary practice location
1088 W Baltimore Pike
HCC II, Suite 2303
Media, PA 19063-5146
Mailing address
3908 Dennison Ave
Drexel Hill, PA 19026-2715
Phone (610) 627-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT185998 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Health Care Group of Pennsylvania LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Oaks, PA
- NPI 1437191608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1013123249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3908 DENNISON AVE",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190262715",
"telephone_number": "610-627-4400",
"fax_number": "610-627-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 W BALTIMORE PIKE",
"address_2": "HCC II, SUITE 2303",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635146",
"telephone_number": "610-627-4400",
"fax_number": "610-627-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "SEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MT185998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.