Active NPI
Craig W Connor, PA-C
- Physician Assistant
- Casa Grande, AZ
National Provider Identifier
1215923206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1213
- Practice address
- 560 N Camino Mercado
Suite 7
Casa Grande, AZ 85122-5759 - Phone
- (520) 836-5538
- Fax
- (520) 836-6998
- NPI assigned
- Sep 23, 2005
- Last updated
- Feb 23, 2010
- 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 | 1213 | AZ | Primary |
Addresses
Primary practice location
560 N Camino Mercado
Suite 7
Casa Grande, AZ 85122-5759
Mailing address
560 N Camino Mercado
Suite 7
Casa Grande, AZ 85122-5759
Phone (520) 836-5538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253089 | Medicaid | AZ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottonwood Medical Center,LTD. | Current | Accepting new patients |
Locations
560 N Camino Mercado
Ste 7
Casa Grande, AZ 85122
Phone (520) 836-5538
Organizations & group practices 1
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.
-
- Specialist
- Casa Grande, AZ
- NPI 1588871552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1215923206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 N CAMINO MERCADO",
"address_2": "SUITE 7",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851225759",
"telephone_number": "520-836-5538",
"fax_number": "520-836-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 N CAMINO MERCADO",
"address_2": "SUITE 7",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851225759",
"telephone_number": "520-836-5538",
"fax_number": "520-836-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "CRAIG",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "1213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253089",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
- Community Medical Services Arizona-Private, LLC (Community Medical Services Casa Grande)
- Community Rises LLC
- Autumn Compo, LMT
- Comprehensive Education Solutions, LLC
- Comprehensive Sleep Solutions, LLC
- Courtney Nicole Coombe, PHARMD
- Cooper Lopez and Associates
- Nicole D Cooper Lopez, PSY.D.
- Lakiesha Staci-Lee Cooper, MPH, BIRTH DOULA
- Robert Paul Cooper, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.