Individual provider Active NPI

Paul T Connor, M.D.

  • Cardiovascular Disease Physician
  • Bellingham, WA
National Provider Identifier
1336197334
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD60080391 Issued in WA
Practice address
2979 Squalicum Pkwy
Suite #101
Bellingham, WA 98225-1811
Phone
(360) 734-2700
Fax
(360) 734-8362
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD60080391 WA Primary
Nuclear Cardiology Physician 207UN0901X MD60080391 WA

Addresses

Primary practice location

2979 Squalicum Pkwy
Suite #101
Bellingham, WA 98225-1811

Mailing address

PO Box 5096
Bellingham, WA 98227-5096
Phone (360) 734-2700

Other identifiers 6

IdentifierTypeStateIssuer
1179COOtherWAREGENCE BLUE SHIELD
7062177OtherWAAETNA
G8883525OtherWAMEDICARE PIN FOR SJMC
MD0335WMedicaidAK
82107OtherWAL&I AND CRIME VICTIMS FOR SJMC
1336197334MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090701000200 WA Practitioner - Cardiovascular Disease (Cardiology) 9638082845 Reassigns benefits to 4 organizations
I20110908001750 AK Practitioner - Cardiovascular Disease (Cardiology) 9638082845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Temple University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians
Peacehealth Medical Group - Sedro WoolleyGroup PAC ID 1456584036, 55 clinicians
Mt Baker Imaging LLCGroup PAC ID 7113963802, 34 clinicians

Practice addresses (Care Compare)

1017 20TH St
Anacortes, WA 98221-2505
Phone (360) 564-8695

1990 Hospital Dr
Sedro Woolley, WA 98284-9315

2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-9373

2930 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1854
Phone (360) 733-0430

2979 Squalicum Pkwy
Bellingham, WA 98225-1813
Phone (360) 756-6800

2980 Squalicum Pkwy
Bellingham, WA 98225-1880
Phone (360) 788-6112

3001 Squalicum Pkwy
Suite 14a
Bellingham, WA 98225-1949
Phone (360) 788-6934

3015 Squalicum Pkwy
Bellingham, WA 98225-1906

3125 Old Fairhaven Pkwy
Suite 106
Bellingham, WA 98225-8266
Phone (360) 788-8388

3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Phone (360) 788-8222

710 Birchwood Ave
Suite 201
Bellingham, WA 98225-1720
Phone (360) 788-6870

835 E Fairhaven Ave
Burlington, WA 98233-1916
Phone (360) 755-0641

8844 Benson Rd
Lynden, WA 98264-9787
Phone (360) 318-0260

Hospital & facility affiliations

  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329
  • Peacehealth Peace Island Medical Center Hospital, Friday Harbor, WA, CCN 501340
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60080391WAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Jul 1, 2011 Accepting new patients
Mt Baker Imaging LLC CurrentSince Jan 1, 2022 Accepting new patients
Peacehealth CurrentSince Jul 7, 2011 Accepting new patients
Peacehealth CurrentSince Sep 1, 2014 Accepting new patients
Peacehealth Medical Group - Sedro Woolley CurrentSince Dec 1, 2018 Accepting new patients
Peacehealth CurrentSince Sep 1, 2014 Accepting new patients
Rocky Mountain Heart Associates, P.C. Cardiovascular Disease Past Accepting new patients
Oregon Cardiology, P.C. Cardiovascular Disease Past Accepting new patients
North Cascade Cardiology PLLC Cardiovascular Disease Past Accepting new patients
Ekg Interpretation Service Cardiovascular Disease Past Accepting new patients
Northwest Radiologists Inc PS Past Accepting new patients
Rose Interpretation Group Cardiovascular Disease Past Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

2979 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 788-6934

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

4029 Northwest Ave
Ste 201
Bellingham, WA 98226

2930 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 733-0890

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641

7 Deye Ln
Eastsound, WA 98245
Phone (360) 293-3101

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

8844 Benson Rd
Lynden, WA 98264
Phone (360) 318-0260

1990 Hospital Dr
Ste 100
Sedro Woolley, WA 98284
Phone (360) 856-4141

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: pconnor10309@direct.peacehealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1336197334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5096",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982275096",
            "telephone_number": "360-734-2700",
            "fax_number": "360-734-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 SQUALICUM PKWY",
            "address_2": "SUITE #101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251811",
            "telephone_number": "360-734-2700",
            "fax_number": "360-734-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "PAUL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60080391",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "WA",
            "license": "MD60080391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "1179CO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7062177",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN FOR SJMC",
            "identifier": "G8883525",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD0335W",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS FOR SJMC",
            "identifier": "82107",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336197334",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.