Connelly Care PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

34632 Issued in AZ

Legal business name

CONNELLY CARE PLLC

Practice address

5300 S Sutter Dr
Ste 11
Show Low, AZ 85901-8054

Phone

(928) 537-9844

Fax

(928) 537-4437

NPI assigned

Oct 11, 2006

Last updated

Aug 29, 2016By 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

Patrick W Connelly, M.D.NPI 1619965548

Title

Physician

Phone

(928) 537-9844

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Patrick Wellington Connelly, MD

  • Obstetrics & Gynecology Physician
  • Show Low, AZ
  • NPI 1619965548
  Authorized official Same address or phone
• William Charles Tindall, DO

  • Obstetrics & Gynecology Physician
  • Payson, AZ
  • NPI 1003929878
  NPD (past)
• Frances Stier, FNP

  • Family Nurse Practitioner
  • Soldotna, AK
  • NPI 1659355675
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1255429353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S SUTTER DR",
            "address_2": "STE 11",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859018054",
            "telephone_number": "928-537-9844",
            "fax_number": "928-537-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SUTTER DR",
            "address_2": "STE 11",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859018054",
            "telephone_number": "928-537-9844",
            "fax_number": "928-537-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNELLY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-537-9844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "34632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Counseling Centers Inc (Pine View Behavioral Health Center)
• Community Medical Services Arizona-Private, LLC (Community Medical Services-Show Low)
• Community Medical Services Arizona-Private, LLC (Community Medical Services Show Low)
• Comprehensive Hospitalist Services of Arizona LLC
• Comprehensive Hospitalist Services of Arizona, LLC
• Patrick Wellington Connelly, MD
• Courtney Ann Contreras, PA
• Deanna Cook, RPH
• Elmer Alfred Cook Jr., RPH, MBA
• Dessa M Cooper, CPM, LM

• Specialist in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.