Individual provider Active NPI

Jennifer Marie Conlon, MD

  • Pediatrics Physician
  • Dayton, OH
National Provider Identifier
1023194248
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.065320 Issued in OH
Practice address
5501 Far Hills Ave Ste 200
Dayton, OH 45429-2203
Phone
(937) 436-2866
Fax
(937) 436-1468
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.065320 OH Primary

Addresses

Primary practice location

5501 Far Hills Ave Ste 200
Dayton, OH 45429-2203

Mailing address

PO Box 933432
Cleveland, OH 44193-0039
Phone (937) 641-5072

Other practice location 1

1425 N Fairfield Rd Ste 130
Beavercreek, OH 45432-2674
Phone (937) 320-1950

Other practice location 2

9000 N Main St Ste 332
Englewood, OH 45415-1185
Phone (937) 832-7337

Other identifiers 6

IdentifierTypeStateIssuer
0114414MedicaidOH
0114414OtherBUR CHILDREN W MED HANDIC
4644133OtherAETNA
000000339085OtherBLUE CROSS BLUE SHIELD
1333851OtherUNITED HEALTHCARE
311627276034OtherCARESOURCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307003564 OH Practitioner - Pediatric Medicine 1153767579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.065320OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children'S Specialty Physicians, Inc. Pediatrics CurrentSince Jan 22, 2024 Accepting new patients
Dayton Children'S Specialty Physicians, Inc. Pediatrics CurrentSince Jan 14, 2024 Accepting new patients

Locations

1425 N Fairfield Rd
Ste 130
Beavercreek, OH 45432
Phone (937) 320-1950

5501 Far Hills Ave
Ste 200
Dayton, OH 45429
Phone (937) 436-2866

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

9000 N Main St
Ste 332
Englewood, OH 45415
Phone (937) 832-7337

5450 Far Hills Ave
Ste 110
Kettering, OH 45429
Phone (937) 299-9060

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1023194248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933432",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 FAR HILLS AVE STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292203",
            "telephone_number": "937-436-2866",
            "fax_number": "937-436-1468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 N Fairfield Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454322674",
            "country_code": "US",
            "telephone_number": "937-320-1950",
            "fax_number": "937-320-9332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St Ste 332",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151185",
            "country_code": "US",
            "telephone_number": "937-832-7337",
            "fax_number": "937-832-4817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.065320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114414",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUR CHILDREN W MED HANDIC",
            "identifier": "0114414",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4644133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000339085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1333851",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "311627276034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.