Conant Urology, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

22969 Issued in CT

Legal business name

CONANT UROLOGY, LLC

Practice address

60 Westwood Avenue
Suite 230
Waterbury, DC 06708-2460

Phone

(203) 753-2800

Fax

(203) 753-7026

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John K. Conant Jr., M.D.NPI 1457352544

Title

Owner

Phone

(203) 753-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• John Kingsbury Conant Jr., MD

  • Urology Physician
  • Waterbury, CT
  • NPI 1457352544
  Authorized official Same address or phone
• Jeffrey M Wolk, MD

  • Urology Physician
  • Sierra Vista, AZ
  • NPI 1184649634
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225250681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WESTWOOD AVENUE",
            "address_2": "SUITE 230",
            "city": "WATERBURY",
            "state": "TN",
            "postal_code": "067082460",
            "telephone_number": "203-753-2800",
            "fax_number": "203-753-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WESTWOOD AVENUE",
            "address_2": "SUITE 230",
            "city": "WATERBURY",
            "state": "DC",
            "postal_code": "067082460",
            "telephone_number": "203-753-2800",
            "fax_number": "203-753-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONANT UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONANT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-753-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "22969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1229699",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.