Individual provider Active NPI

Deborah Kay Conlon, NP

  • Family Medicine Physician
  • Montrose, MI
National Provider Identifier
1407829302
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4704164104 Issued in MI
Practice address
190 E State St
Montrose, MI 48457-9144
Phone
(810) 639-2056
Fax
(810) 639-3167
NPI assigned
Feb 10, 2006
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4704164104 MI Primary

Addresses

Primary practice location

190 E State St
Montrose, MI 48457-9144

Mailing address

14067 Woodview Dr
Fenton, MI 48430
Phone (810) 714-5174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051229000278 MI Practitioner - Nurse Practitioner 4284656695 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Health Management Group Current Accepting new patients
McLaren Health Management Group Current Accepting new patients
Genesys Integrated Group Practice PC Family Medicine Past Accepting new patients

Locations

1515 Cal Dr
Davison, MI 48423
Phone (810) 496-8640

4000 S Saginaw St
Flint, MI 48507
Phone (810) 396-5700

1411 3rd St
Ste C
Port Huron, MI 48060
Phone (800) 451-0481

Interoperability endpoints

  • Direct secure messaging: deborah.conlon@mc-mi.direct.office.nextgen.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1407829302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14067 WOODVIEW DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "48430",
            "telephone_number": "810-714-5174",
            "fax_number": "810-714-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E STATE ST",
            "city": "MONTROSE",
            "state": "MI",
            "postal_code": "484579144",
            "telephone_number": "810-639-2056",
            "fax_number": "810-639-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLON",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704164104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, MI

Sources for this page

Verify at the official NPI Registry.