Active NPI
David M Conner M.D.
- Medical Specialty Clinic/Center
- Swansea, IL
National Provider Identifier
1699206599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 036081648
- Legal business name
- DAVID M CONNER M.D.
- Practice address
- 9 Executive Woods CT Ste 2
Swansea, IL 62226-2016 - Phone
- (618) 222-9393
- Fax
- (618) 222-9384
- NPI assigned
- Mar 22, 2017
- Last updated
- Mar 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David M Conner, MD
- Title
- Owner
- Phone
- (618) 222-9383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 036081648 | IL | Primary |
Addresses
Primary practice location
9 Executive Woods CT Ste 2
Swansea, IL 62226-2016
Mailing address
9 Executive Woods CT Ste 2
Swansea, IL 62226-2016
Phone (618) 222-9393
National Provider Directory
National Provider Directory- Tax ID family
- David M Conner MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Swansea, IL
- NPI 1518494798
Locations
9 Executive Woods Ct
#2
Swansea, IL 62226
Phone (618) 222-9383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490140800000",
"number": "1699206599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 EXECUTIVE WOODS CT STE 2",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262016",
"telephone_number": "618-222-9393",
"fax_number": "618-222-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 EXECUTIVE WOODS CT STE 2",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262016",
"telephone_number": "618-222-9393",
"fax_number": "618-222-9384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID M CONNER M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A",
"authorized_official_last_name": "CONNER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-222-9383",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "IL",
"license": "036081648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
- Anne Dall, PHARM.D.
- Robin L Dalske, PSYD
- Richard Michael Dambacher III, DC
- Kathryn Louise Daniels, PT
- John Wesley Darr, LCSW
- David M. Conner MD
- Deatrice L Kellogg MD
- Roberta Jeanne Dermody, DT
- Diabetes Thyroid and Osteoporosis Clinic of Southern Illinois LTD (Thomas F Tse MD)
- Adam Joseph Diliberto, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.