Connery Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CONNERY PEDIATRICS, LLC

Doing business as

Brickyard Pediatrics

Practice address

170 Bracken Pkwy
Hobart, IN 46342-6789

Phone

(219) 940-9605

Fax

(219) 940-9606

NPI assigned

Aug 16, 2011

Last updated

Oct 5, 2011By 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

Marc A Connery, MDNPI 1689674608

Title

Owner

Phone

(219) 942-7156

Specialties & licenses 1

Addresses

Other names 1

• Brickyard Pediatrics Doing business as

Locations

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.

• Marc Connery, MD

  • Pediatrics Physician
  • Chicago Heights, IL
  • NPI 1689674608
  NPD (past) Authorized official
• Kenneth J Ramsey, DO

  • Cardiovascular Disease Physician
  • Saint John, IN
  • NPI 1770568362
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1346529724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1076",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463081076",
            "telephone_number": "219-662-3931",
            "fax_number": "219-663-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BRACKEN PKWY",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426789",
            "telephone_number": "219-940-9605",
            "fax_number": "219-940-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNERY PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "CONNERY",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-942-7156",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brickyard Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brett Cormier, MSW
• Jennifer R Corsbie, PA-C
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• Tracy Lynn Covaciu, LDH
• Cherie Anneliese Cox, NCC, LMHCA

• Pediatrics Physician in Hobart, IN
• Providers in Hobart, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.