Active NPI
Gerald F. Conner MD PC
- Plastic and Reconstructive Surgery Physician
- Florence, SC
National Provider Identifier
1114116019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 27687
- Legal business name
- GERALD F. CONNER MD PC
- Practice address
- 800 E Cheves St
Suite 280
Florence, SC 29506-2650 - Phone
- (843) 679-6881
- Fax
- (843) 679-6883
- NPI assigned
- Oct 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Regina Leggett
- Title
- Office Manager
- Phone
- (843) 679-6881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 27687 | SC | Primary |
Addresses
Primary practice location
800 E Cheves St
Suite 280
Florence, SC 29506-2650
Mailing address
800 E Cheves St
Suite 280
Florence, SC 29506-2650
Phone (843) 679-6881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276873 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Florence, SC
- NPI 1396707253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192579200000",
"number": "1114116019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E CHEVES ST",
"address_2": "SUITE 280",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062650",
"telephone_number": "843-679-6881",
"fax_number": "843-679-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CHEVES ST",
"address_2": "SUITE 280",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062650",
"telephone_number": "843-679-6881",
"fax_number": "843-679-6883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERALD F. CONNER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A",
"authorized_official_last_name": "LEGGETT",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "REGINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "843-679-6881"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "SC",
"license": "27687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276873",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.