Active NPI
Bella Conanan
- Pediatrics Physician
- Timonium, MD
National Provider Identifier
1144746272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D29008
- Practice address
- 170 W Ridgely Rd
Timonium, MD 21093-5103 - Phone
- (410) 308-4000
- NPI assigned
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D2908 | MD | |
| Pediatrics Physician | 208000000X | D29008 | MD | Primary |
Addresses
Primary practice location
170 W Ridgely Rd
Timonium, MD 21093-5103
Mailing address
170 W Ridgely Road
Timonium, MD 21094
Phone (410) 308-4000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D29008 | MD | MD | Pediatrics Physician |
| D2908 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144746272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 W RIDGELY ROAD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "21094",
"telephone_number": "410-308-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 W RIDGELY RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210935103",
"telephone_number": "410-308-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONANAN",
"first_name": "BELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D2908",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D29008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.