Active NPI
Nicholas J Connors, M.D.
- Adult Reconstructive Orthopaedic Surgery Physician
- Port Charlotte, FL
National Provider Identifier
1194723643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- ME0067867
- Practice address
- 1641 Tamiami TRL
Suite 1
Port Charlotte, FL 33948-1042 - Phone
- (941) 629-6262
- Fax
- (941) 629-1782
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME67867 | FL | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | ME0067867 | FL | Primary |
Addresses
Primary practice location
1641 Tamiami TRL
Suite 1
Port Charlotte, FL 33948-1042
Mailing address
1641 Tamiami TRL
Suite 1
Port Charlotte, FL 33948-1042
Phone (941) 629-6262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257697000 | Medicaid | FL | |
| 68789 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME67867 | FL | MD | Orthopaedic Surgery Physician |
| ME0067867 | FL | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedic Center of Charlotte County, PA | Orthopaedic Surgery | Current | Accepting new patients |
| Advanced Orthopedic Center of Charlotte County, PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1641 Tamiami Trl
Pt Charlotte, FL 33948
Phone (941) 629-6262
1641 Tamiami Trl
Ste 1
Pt Charlotte, FL 33948
Phone (941) 629-6262
350 Mary St
Ste F
Punta Gorda, FL 33950
Phone (941) 629-6262
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- nconnors@aocc1855.srs-direct.com
- nconnors@aoc.emadirect.md
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Port Charlotte, FL
- NPI 1639177579
-
- Orthopaedic Surgery Physician
- Venice, FL
- NPI 1619795317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1194723643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 TAMIAMI TRL",
"address_2": "SUITE 1",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481042",
"telephone_number": "941-629-6262",
"fax_number": "941-629-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 TAMIAMI TRL",
"address_2": "SUITE 1",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481042",
"telephone_number": "941-629-6262",
"fax_number": "941-629-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNORS",
"first_name": "NICHOLAS",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME67867",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "FL",
"license": "ME0067867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257697000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "68789",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.