John Michael Connor, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS007102E Issued in PA

Practice address

7008 Augusta National
Fayetteville, PA 17222-9418

Phone

(717) 401-0539

NPI assigned

May 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1447201546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12934 THE TERRACE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422917",
            "telephone_number": "301-790-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 AUGUSTA NATIONAL",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172229418",
            "telephone_number": "717-401-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS007102E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Marie Broadwater, M.S.
• Kla J Brosius, CRNP
• Jonah Burke, DO
• Childhood Early Intervention, LLC
• Sandra M. Cifor, DO
• Jill Cooke
• Sandra R Cooper, PTA
• Melissa Davis, CRNP
• Fayetteville Volunteer Fire Department
• Joan Marie Finui, PTA

• Emergency Medicine Physician in Fayetteville, PA
• Providers in Fayetteville, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.