Active NPI
Douglas Hunter McConnell, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Redding, CA
National Provider Identifier
1437263696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- A24881
- Practice address
- 821 Cherryhill TRL
Redding, CA 96003-2834 - Phone
- (530) 605-8013
- Fax
- (866) 647-3121
- NPI assigned
- Aug 17, 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A24881 | CA | Primary |
Addresses
Primary practice location
821 Cherryhill TRL
Redding, CA 96003-2834
Mailing address
PO Box 991826
Redding, CA 96099-1826
Phone (530) 244-5833
Other practice location 1
1555 East St
Ste 120
Redding, CA 96001-1153
Phone (530) 242-6122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A248810 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1437263696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 991826",
"city": "REDDING",
"state": "CA",
"postal_code": "960991826",
"telephone_number": "530-244-5833",
"fax_number": "866-647-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 CHERRYHILL TRL",
"city": "REDDING",
"state": "CA",
"postal_code": "960032834",
"telephone_number": "530-605-8013",
"fax_number": "866-647-3121"
}
],
"practiceLocations": [
{
"address_1": "1555 East St",
"address_2": "STE 120",
"address_purpose": "LOCATION",
"city": "Redding",
"state": "CA",
"postal_code": "960011153",
"country_code": "US",
"telephone_number": "530-242-6122",
"fax_number": "530-242-6184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCONNELL",
"first_name": "DOUGLAS",
"middle_name": "HUNTER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A24881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A248810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.