Active NPI
Clara Beth Connell, D.O.
- Internal Medicine Physician
- Rockville, MD
National Provider Identifier
1518100247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H77570
- Practice address
- 14955 Shady Grove Rd Ste 100
Rockville, MD 20850-8728 - Phone
- (301) 990-3190
- Fax
- (301) 990-3199
- NPI assigned
- Apr 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H77570 | MD | Primary |
Addresses
Primary practice location
14955 Shady Grove Rd Ste 100
Rockville, MD 20850-8728
Mailing address
14955 Shady Grove Road
Suite 100
Rockville, MD 20850
Phone (301) 990-3190
Other names 1
- Ms. Clara Beth Hill
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H77570 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Physicians | Family Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1518100247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14955 SHADY GROVE ROAD",
"address_2": "SUITE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "301-990-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14955 SHADY GROVE RD STE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208508728",
"telephone_number": "301-990-3190",
"fax_number": "301-990-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "CLARA",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-10",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "H77570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLARA",
"last_name": "HILL",
"middle_name": "BETH",
"prefix": "MS.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.