Active NPI
Catherine Sue Conner, MD
- Pediatrics Physician
- Waco, TX
National Provider Identifier
1669676227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M9221
- Practice address
- 601 W Hwy 6
Suite 102
Waco, TX 76710-5591 - Phone
- (254) 399-8364
- NPI assigned
- Jun 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M9221 | TX | Primary |
Addresses
Primary practice location
601 W Hwy 6
Suite 102
Waco, TX 76710-5591
Mailing address
601 W Hwy 6
Suite 102
Waco, TX 76710-5591
Phone (254) 399-8364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2776875325 | Other | MYUTMB 2776875325-COMMERCIAL NUMBER |
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 |
|---|---|---|---|
| M9221 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Texas Pediatrics | Pediatrics | 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 and National Provider Directory roles.
-
- Pediatrics Physician
- Waco, TX
- NPI 1437183217
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": "1269561600000",
"number": "1669676227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W HWY 6",
"address_2": "SUITE 102",
"city": "WACO",
"state": "TX",
"postal_code": "767105591",
"telephone_number": "254-399-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W HWY 6",
"address_2": "SUITE 102",
"city": "WACO",
"state": "TX",
"postal_code": "767105591",
"telephone_number": "254-399-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "CATHERINE",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M9221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 2776875325-COMMERCIAL NUMBER",
"identifier": "2776875325",
"state": null
}
],
"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 Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.