Lisa B Connery MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD16929 Issued in OK

Legal business name

LISA B CONNERY MD PLLC

Practice address

1125 N Porter Ave
Suite 205
Norman, OK 73071-6446

Phone

(405) 701-4079

Fax

(405) 701-2838

NPI assigned

Nov 13, 2006

Last updated

Aug 22, 2020By 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

Ms. Dava Bradley

Title

Office Manager

Phone

(405) 701-4079

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 2

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.

• Lisa B. Connery, M.D.

  • Family Medicine Physician
  • Norman, OK
  • NPI 1205828977
  Medicare reassignment Care Compare group NPD
• Mishell J Kerr, APRN-CNP

  • Family Nurse Practitioner
  • Norman, OK
  • NPI 1023460318
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275604811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE",
            "address_2": "SUITE 205",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716446",
            "telephone_number": "405-701-4079",
            "fax_number": "405-701-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE",
            "address_2": "SUITE 205",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716446",
            "telephone_number": "405-701-4079",
            "fax_number": "405-701-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA B CONNERY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DAVA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-701-4079",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "MD16929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "444742697002",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4206638",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melony M Linehan, RN
• Julie Ann Linford
• Shelby Linford, PTA
• Leah Rebecca Linton
• Kayla Lipkeman
• Lisa Myers Black, PH.D., PLLC (Alternative Behavioral Health Solutions)
• Lisa R. Waterman, D.O., P.C.
• Casey Ray Liston, D.O.
• Elizabeth Ashley Litov
• Little Axe Public Schools

• Family Medicine Physician in Norman, OK
• Providers in Norman, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.