Active NPI
John Michael Conoyer, M.D.
- Otolaryngology Physician
- Saint Peters, MO
National Provider Identifier
1295750586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MOR6833
- Practice address
- 4790 Executive Centre Pkwy
Saint Peters, MO 63376-1606 - Phone
- (636) 441-3100
- Fax
- (636) 441-6784
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MOR6833 | MO | Primary |
Addresses
Primary practice location
4790 Executive Centre Pkwy
Saint Peters, MO 63376-1606
Mailing address
4790 Executive Centre Pkwy
Saint Peters, MO 63376-1606
Phone (636) 441-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110323000547 | MO | Practitioner - Otolaryngology | 6507968302 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MOR6833 | MO | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novamed Surgery Center of St Peters LLC | Past | Accepting new patients |
Interoperability endpoints
- jmichaelconoyer@mentc.allscriptsdirect.net
- mconoyer134554@direct.carenet.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Saint Peters, MO
- NPI 1780764829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1295750586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4790 EXECUTIVE CENTRE PKWY",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761606",
"telephone_number": "636-441-3100",
"fax_number": "636-441-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4790 EXECUTIVE CENTRE PKWY",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761606",
"telephone_number": "636-441-3100",
"fax_number": "636-441-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONOYER",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "MOR6833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.