NPIMap

Individual provider Active NPI

Sean A. Connelly, D.O.

  • Gastroenterology Physician
  • Beaver Falls, PA
National Provider Identifier
1043494081
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS012366 Issued in PA
Practice address
100 Knowlson Ave
Beaver Falls, PA 15010-1634
Phone
(724) 891-2100
Fax
(724) 891-2734
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS012366 PA Primary

Addresses

Primary practice location

100 Knowlson Ave
Beaver Falls, PA 15010-1634

Mailing address

100 Knowlson Ave
Beaver Falls, PA 15010-1634
Phone (724) 891-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000470 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 7618046418 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Gastroenterology Associates PCGroup PAC ID 4688646235, 25 clinicians
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

100 Knowlson Ave
Beaver Falls, PA 15010-1634
Phone 72489121005311

104 Technology Dr
Suite 202
Butler, PA 16001-1801
Phone (833) 391-0654

Hospital & facility affiliations

  • Upmc Jameson Hospital, New Castle, PA, CCN 390016
  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168
  • Upmc Horizon Hospital, Greenville, PA, CCN 390178

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy76
Upper gastrointestinal (GI) endoscopy for acid reflux104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012366PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Jun 1, 2018 Accepting new patients
Steward Medical Group Inc. CurrentSince Jan 1, 2019 Accepting new patients
Valley Gastroenterology Associates PC Gastroenterology CurrentSince May 1, 2008 Accepting new patients
Four Seasons Endoscopy Center Inc CurrentSince Apr 6, 2011 Accepting new patients
Butler Medical Providers CurrentSince Jun 1, 2018 Accepting new patients
Butler Medical Providers Gastroenterology Current Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 1, 2019 Accepting new patients

Locations

100 Knowlson Ave
Beaver Falls, PA 15010
Phone (724) 891-2100

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

104 Technology Dr
Ste 202
Butler, PA 16001
Phone (724) 482-6062

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

2602 Wilmington Rd
New Castle, PA 16105
Phone (724) 652-5505

2602 Wilmington Rd
Ste 202
New Castle, PA 16105

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Interoperability endpoints

  • Direct secure messaging: seanconnelly@vga.allscriptsdirect.net
  • Direct secure messaging: sean.connelly@direct-address.net

Organizations & group practices 7

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1043494081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KNOWLSON AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101634",
            "telephone_number": "724-891-2100",
            "fax_number": "724-891-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KNOWLSON AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101634",
            "telephone_number": "724-891-2100",
            "fax_number": "724-891-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "SEAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS012366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

Verify at the official NPI Registry.