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

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.

Title

Physician

Phone

(928) 537-9844

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.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465272",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Counseling Centers Inc
• Community Medical Services Arizona-Private, LLC
• Community Medical Services Arizona-Private, LLC
• 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

• All providers in Show Low, AZ
• 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.