NPIMap

Individual provider Active NPI

Richard A Conn, MD

  • Family Medicine Physician
  • Connellsville, PA
National Provider Identifier
1457370280
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD427026 Issued in PA
Practice address
2616 Memorial Blvd Ste B
Connellsville, PA 15425-1418
Phone
(724) 628-9350
Fax
(724) 628-9353
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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 MD427026 PA Primary

Addresses

Primary practice location

2616 Memorial Blvd Ste B
Connellsville, PA 15425-1418

Mailing address

2616 Memorial Blvd Ste B
Connellsville, PA 15425-1418
Phone (724) 628-9350

Other identifiers 3

IdentifierTypeStateIssuer
1016749260001MedicaidPA
103068OtherPAMEDICARE PROVIDER NUMBER
1877540OtherHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060918000319 PA Practitioner - Family Practice 2860497252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-6899

Hospital & facility affiliations

  • Amedisys Home Health of PA Home health agency, Uniontown, PA, CCN 397139
  • Excela Health Home Care & Hospice Home health agency, Greensburg, PA, CCN 397090
  • Amedisys Hospice of PA Hospice, Uniontown, PA, CCN 391544
  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041
  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145
  • Penn Highlands Connellsville Hospital, Connellsville, PA, CCN 390184
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD427026PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Nov 8, 2021 Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Nov 8, 2021 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Fayette Physician Network Inc Family Medicine Past Accepting new patients

Locations

224 Memorial Blvd
Connellsville, PA 15425
Phone (724) 437-7677

2616 Memorial Blvd
Ste B
Connellsville, PA 15425
Phone (724) 628-9350

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

Interoperability endpoints

  • Direct secure messaging: rconn311566@direct.wvuhsdirect.com

Organizations & group practices 7

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 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1457370280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 MEMORIAL BLVD STE B",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251418",
            "telephone_number": "724-628-9350",
            "fax_number": "724-628-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 MEMORIAL BLVD STE B",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251418",
            "telephone_number": "724-628-9350",
            "fax_number": "724-628-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD427026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016749260001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "103068",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1877540",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.