Active NPI
Douglas M Connor, MD
- Emergency Medicine Physician
- Concord, NH
National Provider Identifier
1609810506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7833
- Practice address
- 250 Pleasant St
ER Dept
Concord, NH 03301-7539 - Phone
- (603) 225-7000
- Fax
- (603) 230-7218
- NPI assigned
- Jun 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7833 | NH | Primary |
Addresses
Primary practice location
250 Pleasant St
ER Dept
Concord, NH 03301-7539
Mailing address
250 Pleasant St
Emergency Dept
Concord, NH 03301-7539
Phone (603) 227-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003089 | Medicaid | NH |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7833 | NH | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1609810506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PLEASANT ST",
"address_2": "EMERGENCY DEPT",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017539",
"telephone_number": "603-227-7000",
"fax_number": "603-230-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PLEASANT ST",
"address_2": "ER DEPT",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017539",
"telephone_number": "603-225-7000",
"fax_number": "603-230-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "DOUGLAS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "7833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003089",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.