Active NPI
Chad Stephen Conner, MD
- Orthopaedic Surgery Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M9222
- Practice address
- 6600 Fish Pond Rd
Suite 201
Waco, TX 76710-2581 - Phone
- (254) 752-9638
- NPI assigned
- Jun 14, 2007
- Last updated
- Sep 23, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A106882 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | M9222 | TX | Primary |
Addresses
Primary practice location
6600 Fish Pond Rd
Suite 201
Waco, TX 76710-2581
Mailing address
6600 Fish Pond Rd
Suite 201
Waco, TX 76710-2581
Phone (254) 752-9638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Medical Branch at Galveston, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 Richland W Cir
Providence Internal Medicine Clinic
Waco, TX 76712-7932
Phone (254) 537-6200
340 Richland W Cir
Ascension Medical Group Providence
Waco, TX 76712-7919
Phone (254) 537-6050
342 Richland W Cir
Waco, TX 76712-7919
Phone (254) 537-6600
6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000
7125 Sanger Rd
Suite 516
Waco, TX 76712-4054
Phone (254) 752-9638
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 24 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 47 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106882 | CA | MD | Clinical Social Worker |
| A106882 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health Alliance | Current | Accepting new patients | |
| Providence Health Alliance | Current | Accepting new patients |
Locations
301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200
7125 Sanger Rd
Ste 516
Woodway, TX 76712
Phone (254) 752-9368
Interoperability endpoints
- chad.conner.1@9635.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Waco, TX
- NPI 1932210838
-
dba Providence Family Health Clinic-Hillsboro
- Rural Health Clinic/Center
- Waco, TX
- NPI 1336590462
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1578767133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FISH POND RD",
"address_2": "SUITE 201",
"city": "WACO",
"state": "TX",
"postal_code": "767102581",
"telephone_number": "254-752-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 FISH POND RD",
"address_2": "SUITE 201",
"city": "WACO",
"state": "TX",
"postal_code": "767102581",
"telephone_number": "254-752-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "CHAD",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A106882",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "M9222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.