William A Conner, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002078 Issued in NY

Practice address

126 Ski Bowl Rd
North Creek, NY 12853-2607

Phone

(518) 251-2541

Fax

(518) 251-3055

NPI assigned

Jul 28, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1285648642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300",
            "fax_number": "518-824-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SKI BOWL RD",
            "city": "NORTH CREEK",
            "state": "NY",
            "postal_code": "128532607",
            "telephone_number": "518-251-2541",
            "fax_number": "518-251-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02346596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 112 Ski Bowl Road Operating Company, LLC
• Adirondack Tri-County Nursing and Rehabilitation Center, Inc
• Lori P Benton, L.M.T.
• Rebecca Lynn Compson, BA
• Deidre M. Convery-Bernard, MS, CCC-SLP
• Thomas Cunningham, M.D.
• Sydney Louise Daniger
• Ellen M Deprey, PA-C
• Taylor Dufrain, OTR/L

• Physician Assistant in North Creek, NY
• Providers in North Creek, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.