Lisa B. Connery, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16929 Issued in OK

Practice address

1016 24TH Ave NW Ste 110
Norman, OK 73069-6542

Phone

(405) 701-4079

Fax

(405) 701-8988

NPI assigned

Aug 18, 2005

Last updated

Mar 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Family Practice

Education

University of Oklahoma College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lisa B. Connery M.D. PLLCGroup PAC ID 2961504196, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centric Home Health Home health agency, Durant, OK, CCN 377791
• Norman Regional Hospital, Norman, OK, CCN 370008
• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lisa B Connery MD PLLC

  • Family Medicine Physician
  • Norman, OK
  • NPI 1275604811
  Medicare reassignment Care Compare group NPD
• Oklahoma Advanced Diabetes Care PLLC

  • Physician Assistant
  • Norman, OK
  • NPI 1053296129
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Genesis Healthcare, LLC

  dba Centric Home Health

  • Home Health Agency
  • Durant, OK
  • NPI 1407202740
  Care Compare affiliation
• Norman Regional Hospital Authority

  dba Norman Regional

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  Care Compare affiliation
• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1205828977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 24TH AVE NW STE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696542",
            "telephone_number": "405-701-4079",
            "fax_number": "405-701-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 24TH AVE NW STE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696542",
            "telephone_number": "405-701-4079",
            "fax_number": "405-701-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERY",
        "first_name": "LISA",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "16929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080058651",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA EDI",
            "identifier": "4206638",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113800A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tom Shi Connally, MD
• Connect Health Professionals, LLC
• Baylee Conner
• Chloe Conner
• Marlene Conner
• Stephen E Connery, MD
• Kimberly Renee Connolley, COTA/L
• Misty Conover
• Continuum Care Providers of Oklahoma, LLC
• Dacia Conway, RBT

• Family Medicine Physician in Norman, OK
• Providers in Norman, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.

Verify at the official NPI Registry.