Jerry W Conners, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

15481 Issued in KY

Practice address

40 N Grand Ave
Suite 200
Fort Thomas, KY 41075-4107

Phone

(859) 781-2700

Fax

(859) 781-2712

NPI assigned

Oct 23, 2006

Last updated

Oct 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jerry W Conners MD PSC

  • Ophthalmology Physician
  • Fort Thomas, KY
  • NPI 1013190602
  Authorized official Same address or phone
• Sperbeck Enterprises Inc.

  • Orthopedic Chiropractor
  • Fort Thomas, KY
  • NPI 1619037728
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1689757502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 NORTH GRAND AVE",
            "address_2": "SUITE 200",
            "city": "FT. THOMAS",
            "state": "KY",
            "postal_code": "41075",
            "telephone_number": "859-781-2700",
            "fax_number": "859-781-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N GRAND AVE",
            "address_2": "SUITE 200",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754107",
            "telephone_number": "859-781-2700",
            "fax_number": "859-781-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERS",
        "first_name": "JERRY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "15481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64154818",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Gravett Coate, LISW-S
• Carrie F Collins, LPCC
• Come As You Are Wellness, LLC
• Community Behavioral Health Inc. (Foundations Counseling)
• Community Behavioral Health Inc. (Foundations Counseling)
• Gregory Carleton Coolidge II, C.H.W.C., C.F.N.S.
• J'Mir Cousar, M.D.
• Jill S Crabtree, PA-C
• Seana Jean Creech, LISW-S
• Cheryl French Cummins, MSW LSW

• Ophthalmology Physician in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.