Active NPI
Thomas L Connolly, M.D.
- Infectious Disease Physician
- Omaha, NE
National Provider Identifier
1023031796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 11049
- Practice address
- 7710 Mercy Rd
Suite 601
Omaha, NE 68124-2372 - Phone
- (402) 397-5236
- Fax
- (402) 397-7849
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 9, 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 11049 | NE | Primary |
Addresses
Primary practice location
7710 Mercy Rd
Suite 601
Omaha, NE 68124-2372
Mailing address
7710 Mercy Rd
Suite 601
Omaha, NE 68124-2372
Phone (402) 397-5236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03553 | Other | NE | BLUE CROSS BLUE SHIELD NE |
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 |
|---|---|---|---|
| 11049 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of Internal Medicine, PC | Infectious Disease | Past | Accepting new patients |
| Alegent Creighton Clinic | Infectious Disease | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Omaha, NE
- NPI 1003831686
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- Council Bluffs, IA
- NPI 1598811069
Infectious Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023031796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 MERCY RD",
"address_2": "SUITE 601",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242372",
"telephone_number": "402-397-5236",
"fax_number": "402-397-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 MERCY RD",
"address_2": "SUITE 601",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242372",
"telephone_number": "402-397-5236",
"fax_number": "402-397-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "THOMAS",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NE",
"license": "11049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NE",
"identifier": "03553",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.