Individual provider Active NPI

Donald J Conner, MD

  • Surgery Physician
  • Englewood, CO
National Provider Identifier
1407944507
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
22994 Issued in CO
Practice address
3333 S Bannock St
Suite 605
Englewood, CO 80110-2432
Phone
(303) 781-0232
Fax
(303) 781-9856
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22994 CO Primary

Addresses

Primary practice location

3333 S Bannock St
Suite 605
Englewood, CO 80110-2432

Mailing address

8490 E Crescent Pkwy Ste 380
Greenwood Village, CO 80111-2815
Phone (303) 957-1310

Other identifiers 1

IdentifierTypeStateIssuer
01229947MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donald.conner@surgone.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050914001178 CO Practitioner - General Surgery 5395797997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Colorado School of Medicine, Denver, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgone PCGroup PAC ID 9032002985, 39 clinicians
Traumaone, PLLCGroup PAC ID 2961724190, 11 clinicians

Practice addresses (Care Compare)

1601 E 19TH Ave
Suite 6300
Denver, CO 80218-1255
Phone (303) 839-5669

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-5000

2525 S Downing St
Porter Hospital
Denver, CO 80210-5817
Phone (303) 778-2437

7700 S Broadway
Littleton Adventist Hospital
Littleton, CO 80122-2602
Phone (303) 734-8772

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22994COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgone, PC Surgery CurrentSince Jan 1, 2001 Accepting new patients
Traumaone, PLLC CurrentSince Dec 1, 2014 Accepting new patients
Surgone, PC Surgery CurrentSince Jan 1, 2001 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

1601 E 19th Ave
Ste 6300
Denver, CO 80218
Phone (303) 839-5669

3333 S Bannock St
Ste 350
Englewood, CO 80110
Phone (303) 957-1310

3333 S Bannock St
Ste 605
Englewood, CO 80110
Phone (303) 781-0232

8490 E Crescent Pkwy
Ste 380
Greenwood Village, CO 80111
Phone (303) 957-1310

10103 Ridgegate Pkwy
Ste 217
Lone Tree, CO 80124
Phone (303) 789-1877

Interoperability endpoints

  • Direct secure messaging: donald.conner@surgone.directbygreenway.com

Organizations & group practices 4

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 4

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1407944507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 E CRESCENT PKWY STE 380",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112815",
            "telephone_number": "303-957-1310",
            "fax_number": "303-761-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S BANNOCK ST",
            "address_2": "SUITE 605",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102432",
            "telephone_number": "303-781-0232",
            "fax_number": "303-781-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "DONALD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "22994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01229947",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donald.conner@surgone.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3333 S Bannock St",
            "address_2": "Suite 605",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801102432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.