Renel J Conner Jr.

Primary specialty

SpecialistTaxonomy code 174400000X

License

053805 Issued in OH

Practice address

3484 Wood CT
Fairfield Township, OH 45011-6572

Phone

(513) 668-3886

NPI assigned

Sep 18, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1144990367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3484 WOOD CT",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450116572",
            "telephone_number": "513-668-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3484 WOOD CT",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450116572",
            "telephone_number": "513-668-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "RENEL",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "053805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Clayton
• Candis L Cochran
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• Abigail Nye Conkright, FNP
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• Shawna Cheyenne Cox, QMHS
• Trinity Cox

• Specialist in Fairfield Township, OH
• Providers in Fairfield Township, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.