David Lee Conner, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

014890 Issued in ME

Practice address

22 Birdseye Ave Ste a
Caribou, ME 04736-1670

Phone

(207) 492-0346

Fax

(207) 492-0348

NPI assigned

Oct 4, 2006

Last updated

Dec 1, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: david.conner.1@10911.direct.athenahealth.com

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.

• Morehouse Ouachita Surgery Associates

  dba The Surgery Clinic

  • Surgery Physician
  • Huntingdon, TN
  • NPI 1669559373
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1093801631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BIRDSEYE AVE STE A",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047361670",
            "telephone_number": "207-492-0346",
            "fax_number": "207-492-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BIRDSEYE AVE STE A",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047361670",
            "telephone_number": "207-492-0346",
            "fax_number": "207-492-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "014890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000202033",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MM7683",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Caribou (Caribou Fire & Ambulance Department)
• Victoria Marilyn Clark, PT, DPT, OCS
• Alexis Coiley, DDS
• Beth Ann Collamore, M.D.
• Lara Kathryn Collicott, SPEECH PATHOLOGIST
• Sarah E Corbett, CADC, LSW
• Freeman R. Corey, LCSW, LADC, CCS
• Angela Beth Cormier, MOTR/L
• County Optical Inc
• County Physical Therapy, LLC

• Family Medicine Physician in Caribou, ME
• Providers in Caribou, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.