NPIMap

Organization Active NPI

Hugh J Connolly MD PA

  • Gastroenterology Physician
  • Palmetto Bay, FL
National Provider Identifier
1205197597
Registry record updated Jun 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0014984 Issued in FL
Legal business name
HUGH J CONNOLLY MD PA
Practice address
9000 SW 152ND St
Suite 107
Palmetto Bay, FL 33157-1981
Phone
(305) 251-3434
Fax
(305) 971-6393
NPI assigned
Jun 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2012

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

Authorized official

Name
Dr. Hugh Joseph Connolly, M.D.NPI 1104926898
Title
President
Phone
(305) 251-3434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X ME0014984 FL Primary

Addresses

Primary practice location

9000 SW 152ND St
Suite 107
Palmetto Bay, FL 33157-1981

Mailing address

9000 SW 152ND St
Suite 107
Palmetto Bay, FL 33157-1981
Phone (305) 251-3434

Other identifiers 1

IdentifierTypeStateIssuer
050276600MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338681600000",
    "number": "1205197597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST",
            "address_2": "SUITE 107",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571981",
            "telephone_number": "305-251-3434",
            "fax_number": "305-971-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST",
            "address_2": "SUITE 107",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571981",
            "telephone_number": "305-251-3434",
            "fax_number": "305-971-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH J CONNOLLY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-03",
        "last_updated": "2012-06-03",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-251-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0014984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050276600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2012; 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.