Shawn K Conner, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301059910 Issued in MI

Practice address

5900 Waldon Rd
Clarkston, MI 48346-4806

Phone

(248) 625-7890

Fax

(248) 625-7527

NPI assigned

Sep 2, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Wayne State University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
• Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shawnconner@pmi.allscriptsdirect.net
• Direct secure messaging: sconner1123741@direct.hfhs.org

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.

• Henry Ford Medical Group Genesys

  • Family Medicine Physician
  • Burton, MI
  • NPI 1598248718

  Family Medicine, MI

  Medicare reassignment Care Compare group NPD
• Genesys Pho LLC

  • Case Management Agency
  • Burton, MI
  • NPI 1275820110

  MI

  Medicare reassignment NPD
• Henry Ford Medical Group Genesys

  • Family Medicine Physician
  • Mount Morris, MI
  • NPI 1003398470

  Family Medicine

  NPD
• Henry Ford Medical Group Genesys

  • Physical Therapist
  • Burton, MI
  • NPI 1114495793
  NPD
• Genesys Integrated Group Practice PC

  • Family Medicine Physician
  • Burton, MI
  • NPI 1912956723

  Family Medicine

  NPD (past)
• Genesys Practice Partners, Inc.

  • Adult Mental Health Clinic/Center
  • Grand Blanc, MI
  • NPI 1841206281
  NPD (past)
• Genesys Practice Partners, Inc.

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1962423186
  NPD (past)

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

• Henry Ford Health Genesys Hospital

  • General Acute Care Hospital
  • Grand Blanc, MI
  • NPI 1407877723

  Hospital

  Care Compare affiliation
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1568564367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 WALDON RD",
            "address_2": "STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464806",
            "telephone_number": "248-625-7890",
            "fax_number": "248-625-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 WALDON RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464806",
            "telephone_number": "248-625-7890",
            "fax_number": "248-625-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "SHAWN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301059910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4591323",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Family Healthcare, PLLC
• Comprehensive Medical Care
• Cherie Conklin, BEHAVIOR TECHNICIAN
• Danielle Conklin, CTRS
• Laura Conner, LLPC
• Convo Wellness LLC
• Aaron Cook, LLMSW
• Marquis Toriano Cooley
• Kurt Robert Cooper, D.C.
• Lauren Nicole Cooper, LMSW

• All providers in Clarkston, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.

Verify at the official NPI Registry.