Justin Connor MD LLC

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

Legal business name

JUSTIN CONNOR MD LLC

Practice address

1057 S Bradford St
Dover, DE 19904

Phone

(302) 231-1245

Fax

(302) 231-1246

NPI assigned

Mar 23, 2018

Organization subpart

No

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

Authorized official

Name

Justin Connor, MDNPI 1639333107

Title

President

Phone

(314) 495-8194

Specialties & licenses 1

Addresses

Other names 1

• Growing Bones Pediatric & Neuromuscular Orthopaedic Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17835/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin R Connor, MD

  • Pediatric Orthopaedic Surgery Physician
  • Dover, DE
  • NPI 1639333107
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1699279554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 HOLLY KNOLL RD",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079749",
            "telephone_number": "302-483-7115",
            "fax_number": "302-483-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 S BRADFORD ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19904",
            "telephone_number": "302-231-1245",
            "fax_number": "302-231-1246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1059 S Bradford St Ste B",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044141",
            "country_code": "US",
            "telephone_number": "302-483-7115",
            "fax_number": "302-483-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUSTIN CONNOR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-495-8194",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Growing Bones Pediatric & Neuromuscular Orthopaedic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nicole Justice, LPCMH, DVS
• K & J Transit LLC
• K.I.S.H. Home Inc
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• John B Kaburia, PMHNP-BC
• Sumanth Rao Kacharam, M.D

• Pediatric Orthopaedic Surgery Physician in Dover, DE
• Providers in Dover, DE by specialty
• Pediatric Orthopaedic Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.