Organization Active NPI

Tom Shi Connally MD PC

  • Surgery Physician
  • Norman, OK
National Provider Identifier
1457573941
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23363 Issued in OK
Legal business name
TOM SHI CONNALLY MD PC
Practice address
500 East Robinson
Suite 2300
Norman, OK 73071-6771
Phone
(405) 329-4102
Fax
(405) 364-3476
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Mr. Tom Shi Connally, M.D.NPI 1326092370
Title
Owner
Phone
(405) 329-4102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 23363 OK Primary

Addresses

Primary practice location

500 East Robinson
Suite 2300
Norman, OK 73071-6771

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-6668

Other identifiers 3

IdentifierTypeStateIssuer
200014890BMedicaidOK
P00072417OtherOKMEDICARE RAILROAD
200014890AMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1457573941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-6668",
            "fax_number": "405-307-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 EAST ROBINSON",
            "address_2": "SUITE 2300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716771",
            "telephone_number": "405-329-4102",
            "fax_number": "405-364-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM SHI CONNALLY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "CONNALLY",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "SHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-329-4102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "23363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014890B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00072417",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.