Active NPI
Michael A Connaughton, MD
- Pediatrics Physician
- Lexington, NC
National Provider Identifier
1609857937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2015-00879
- Practice address
- 8 Medical Park Dr
Lexington, NC 27292-6768 - Phone
- (336) 238-0408
- NPI assigned
- Nov 14, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C6587 | AR | |
| Pediatrics Physician | 208000000X | 2015-00879 | NC | Primary |
Addresses
Primary practice location
8 Medical Park Dr
Lexington, NC 27292-6768
Mailing address
PO Box 602658
Charlotte, NC 28260-2658
Phone (336) 716-2011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113096001 | Medicaid | AR |
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 |
|---|---|---|---|
| C6587 | AR | MD | Pediatrics Physician |
| 2015-00879 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1609857937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602658",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602658",
"telephone_number": "336-716-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 MEDICAL PARK DR",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272926768",
"telephone_number": "336-238-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNAUGHTON",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "C6587",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2015-00879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113096001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, NC
- William Collins, L.P.C.
- Gail Cox Coltrane, LMFT
- Donato Joseph Colucci, LAT, M.ED. ATC
- Community Care of the Triad ,LLC
- Community Drug Store, Inc.
- Heather Hedrick Cook
- Core Medical Supplies, Inc.
- Cornerstone Health Care PA (Carolina Cardiology Cornerstone)
- Cornerstone Health Care, PA (Cornerstone Family Practice-Lexington)
- Camryn Corriher
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.