Individual provider Active NPI

Douglas Hunter McConnell, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Redding, CA
National Provider Identifier
1437263696
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A24881 Issued in CA
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

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A248810MedicaidCA

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.

Verify at the official NPI Registry.