Active NPI
Jerard Michael Connors, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 35.065321
- Practice address
- 1 Childrens PLZ
Dayton, OH 45404-1815 - Phone
- (937) 641-3600
- Fax
- (937) 641-5802
- NPI assigned
- Jun 23, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | MD0000030370 | TN | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 35.065321 | OH | Primary |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | U7312 | TX | |
| Pediatrics Physician | 208000000X | 30370 | TN |
Addresses
Primary practice location
1 Childrens PLZ
Dayton, OH 45404-1815
Mailing address
PO Box 933432
Cleveland, OH 44193-0039
Phone (937) 641-5072
Other practice location 1
3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-3400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0961277 | Medicaid | OH | |
| 3102828 | Other | TN | BLUE CROSS |
| 3897180 | Medicaid | TN | |
| 64720022 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, OH, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Virginia Commonwealth University, School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Childrens PLZ
Dayton, OH 45404-1873
Phone (937) 641-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000030370 | TN | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians of Memphis LLC | Current | Accepting new patients | |
| Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Current | Accepting new patients |
Locations
4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822
3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
Interoperability endpoints
- jerard.connors.1@21899.direct.athenahealth.com
- jerard.connors.1@15829.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Dayton, OH
- NPI 1225192610
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
TN
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Orleans, LA
- NPI 1568597649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1487680211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933432",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930039",
"telephone_number": "937-641-5072",
"fax_number": "937-641-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041815",
"telephone_number": "937-641-3600",
"fax_number": "937-641-5802"
}
],
"practiceLocations": [
{
"address_1": "3333 W Tech Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453420955",
"country_code": "US",
"telephone_number": "937-641-3400",
"fax_number": "937-641-4880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNORS",
"first_name": "JERARD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "TN",
"license": "MD0000030370",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "OH",
"license": "35.065321",
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "TX",
"license": "U7312",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "30370",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0961277",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3102828",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3897180",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64720022",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.