Benjamin I Connor, R-PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

011039-1 Issued in NY

Practice address

2700 Court St
Syracuse, NY 13208-3295

Phone

(315) 455-7610

NPI assigned

Jan 18, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian Health Service of Syracuse IncGroup PAC ID 0547416943, 4 clinicians

Syracuse Orthopedic Specialists, PLLCGroup PAC ID 6406760073, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Christian Health Service of Syracuse Inc

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1487913166
  Medicare reassignment Care Compare group
• Syracuse Orthopedic Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Syracuse, NY
  • NPI 1669410379
  Medicare reassignment Care Compare group
• St Josephs Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1942501747
  Medicare reassignment
• Upstate Community Medical, PC

  • Hospitalist Physician
  • Syracuse, NY
  • NPI 1689620163
  Medicare reassignment
• Baldwinsville Family Medicine PLLC

  • Family Medicine Physician
  • Baldwinsville, NY
  • NPI 1396734760
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1245210129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132083295",
            "telephone_number": "315-455-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132083295",
            "telephone_number": "315-455-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "BENJAMIN",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "R-PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011039-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02729197",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert William Conner, FNP-C
• Gregory Conners, MD
• Jessica Rae Conners, FNP
• Dawn E Connolly
• Barbara Jones Connor, M.D.
• Tiara Marie Connor
• David R Connors, OTR/L
• Claire A Conroy, RN
• Michael Conroy, MD
• Larry Consenstein, M.D.

• Medical Physician Assistant in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.