Individual provider Active NPI

James Bernard Conahan, MD

  • Ophthalmology Physician
  • Highlands Ranch, CO
National Provider Identifier
1265505028
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32608 Issued in CO
Practice address
9330 South University Blvd
Suite 220
Highlands Ranch, CO 80126
Phone
(303) 346-8400
Fax
(303) 346-1785
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 32608 CO Primary

Addresses

Primary practice location

9330 South University Blvd
Suite 220
Highlands Ranch, CO 80126

Mailing address

9330 South University Blvd
Suite 220
Highlands Ranch, CO 80126
Phone (303) 346-8400

Other identifiers 1

IdentifierTypeStateIssuer
01326081MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20101207000625 CO Practitioner - Ophthalmology 4981593241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32608COMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1265505028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 SOUTH UNIVERSITY BLVD",
            "address_2": "SUITE 220",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80126",
            "telephone_number": "303-346-8400",
            "fax_number": "303-346-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 SOUTH UNIVERSITY BLVD",
            "address_2": "SUITE 220",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80126",
            "telephone_number": "303-346-8400",
            "fax_number": "303-346-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONAHAN",
        "first_name": "JAMES",
        "middle_name": "BERNARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "32608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01326081",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.