Active NPI
David Conner, P.A.
- Physician Assistant
- Three Rivers, MI
National Provider Identifier
1215364963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601006360
- Practice address
- 721 S Health Pkwy
Three Rivers, MI 49093-8352 - Phone
- (269) 273-9789
- Fax
- (269) 273-9611
- NPI assigned
- Sep 26, 2013
- Last updated
- Sep 26, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006360 | MI | Primary |
Addresses
Primary practice location
721 S Health Pkwy
Three Rivers, MI 49093-8352
Mailing address
721 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 273-9789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1215364963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 S HEALTH PKWY",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490938352",
"telephone_number": "269-273-9789",
"fax_number": "269-273-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 S HEALTH PKWY",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490938352",
"telephone_number": "269-273-9789",
"fax_number": "269-273-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "DAVID",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Three Rivers, MI
- City of Three Rivers
- Devin Clemence, PA-C
- Nicole Raye Combs
- Eric Thomas Comer, PA-C
- Community Healing Center (Community Healing Center Three Rivers)
- Margaret A Cook
- Stacey Marie Coon-Ballard, LMSW
- Nicole Rochelle Corfield
- Chloe Nicole Cornwell
- Counseling and Psychological Services of Three Rivers P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.