Active NPI
Connie L Hedmark, M.D.
- Obstetrics Physician
- Marquette, MI
National Provider Identifier
1639265135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 4301406854
- Practice address
- 1414 W Fair Avenue
Suite 390
Marquette, MI 49855 - Phone
- (906) 225-3881
- Fax
- (906) 225-0994
- NPI assigned
- Oct 4, 2006
- Last updated
- Sep 11, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301406854 | MI | |
| Gynecology Physician | 207VG0400X | 4301406854 | MI | |
| Obstetrics Physician | 207VX0000X | 4301406854 | MI | Primary |
Addresses
Primary practice location
1414 W Fair Avenue
Suite 390
Marquette, MI 49855
Mailing address
1414 W Fair Avenue
Suite 390
Marquette, MI 49855
Phone (906) 225-3881
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2647635 | Medicaid | MI | |
| 0521214 | Other | MI | BC/BS |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB-GYN Assoc of Marquette PC | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Marquette, MI
- NPI 1942394861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1639265135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W FAIR AVENUE",
"address_2": "SUITE 390",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-225-3881",
"fax_number": "906-225-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W FAIR AVENUE",
"address_2": "SUITE 390",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-225-3881",
"fax_number": "906-225-0994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDMARK",
"first_name": "CONNIE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301406854",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MI",
"license": "4301406854",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "MI",
"license": "4301406854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2647635",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "0521214",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.