Individual provider Active NPI

Paul S McConnell, M.D.

  • Ophthalmology Physician
  • Staunton, VA
National Provider Identifier
1184834889
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101247530 Issued in VA
Practice address
1500 Commerce Rd
Staunton, VA 24401-9032
Phone
(540) 213-7720
Fax
(540) 213-9441
NPI assigned
May 23, 2007
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101247530 VA Primary

Addresses

Primary practice location

1500 Commerce Rd
Staunton, VA 24401-9032

Mailing address

17 N Medical Park Dr
Fishersville, VA 22939-2344
Phone (540) 213-7720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paul.mcconnell.p1@direct.eyeone.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907001103 VA Practitioner - Ophthalmology 9638293079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyeone PLCGroup PAC ID 7416917554, 13 clinicians

Practice addresses (Care Compare)

1500 Commerce Rd
Staunton, VA 24401-9032
Phone (540) 213-7720

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery294

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Eye Associates PLC CurrentSince Jul 18, 2010 Accepting new patients
Eye One, PLC Ophthalmology CurrentSince Jul 18, 2010 Accepting new patients

Locations

17 N Medical Park Dr
Fishersville, VA 22939
Phone (540) 213-7720

1500 Commerce Rd
Staunton, VA 24401
Phone (540) 213-7720

425 S Linden Ave
Waynesboro, VA 22980
Phone (540) 213-7720

Interoperability endpoints

  • Direct secure messaging: paul.mcconnell.p1@direct.eyeone.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1184834889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N MEDICAL PARK DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392344",
            "telephone_number": "540-213-7720",
            "fax_number": "540-213-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COMMERCE RD",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244019032",
            "telephone_number": "540-213-7720",
            "fax_number": "540-213-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101247530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paul.mcconnell.p1@direct.eyeone.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 Commerce Rd",
            "city": "Staunton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "244019032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.