Jane G Conolly, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

042-0012509 Issued in VT

Practice address

1775 Williston Rd
Suite 110
South Burlington, VT 05403-6491

Phone

(877) 698-8496

NPI assigned

Sep 25, 2009

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

Medicare fee-for-service enrollment

Enrolled in VT

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

Obstetrics/Gynecology

Education

George Washington University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vermont Gynecology PCGroup PAC ID 0244428357, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
• Copley Hospital Hospital, Morrisville, VT, CCN 471305

Merit-based Incentive Payment System (MIPS)

Final score

83.39 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

55.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Vermont Gynecology, PC

  • Gynecology Physician
  • South Burlington, VT
  • NPI 1174830251
  Medicare reassignment Care Compare group NPD

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

• Copley Hospital, Inc.

  • Critical Access Hospital
  • Morrisville, VT
  • NPI 1568414365
  Care Compare affiliation
• University of Vermont Medical Center Inc

  • General Acute Care Hospital
  • Burlington, VT
  • NPI 1568419976
  Care Compare affiliation

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1235463027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054820250",
            "telephone_number": "877-698-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 WILLISTON RD",
            "address_2": "SUITE 110",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036491",
            "telephone_number": "877-698-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOLLY",
        "first_name": "JANE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VT",
            "license": "042-0012509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Clarissa Conlon
• Connective Physical Therapy LLC (Connective PT Neuro Pelvic Wellness)
• Alessandra Keely Conner, OD
• Thomas B Connolly, DDS
• Thomas William Connolly, DMD
• Tammie Anne Consejo, LCMHC
• Clare Stokes Cook, RN, CDCES
• Kathy P Cook, M.D.
• Tiffany Cook
• Suzanne Grantham Corbitt, O.D.

• Gynecology Physician in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Gynecology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.