Organization Active NPI

David M Conner M.D.

  • Medical Specialty Clinic/Center
  • Swansea, IL
National Provider Identifier
1699206599
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036081648 Issued in IL
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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)CodeLicenseStatePrimary
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 MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.