Individual provider Active NPI

Katherine Anne Connor, MD, MSPH

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1699923425
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
125-050955 Issued in MD
Practice address
200 N Wolfe St
RM 2088
Baltimore, MD 21287-3144
Phone
(410) 955-5710
NPI assigned
Sep 4, 2008
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125-050955 MD Primary

Addresses

Primary practice location

200 N Wolfe St
RM 2088
Baltimore, MD 21287-3144

Mailing address

200 N Wolfe St
RM 2088
Baltimore, MD 21287-3144
Phone (410) 955-5710

Other identifiers 1

IdentifierTypeStateIssuer
125-050955OtherILILLINOIS MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000502 MD Practitioner - Pediatric Medicine 5597910760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125-050955MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jul 1, 2015 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2015 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

200 N Wolfe St
Rm 2088
Baltimore, MD 21287
Phone (410) 955-5710

600 N Wolfe St
Baltimore, MD 21287

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

Interoperability endpoints

  • Direct secure messaging: kconnor59281@direct.hopkinsmedicine.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1699923425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N WOLFE ST",
            "address_2": "RM 2088",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212873144",
            "telephone_number": "410-955-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N WOLFE ST",
            "address_2": "RM 2088",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212873144",
            "telephone_number": "410-955-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD, MSPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "125-050955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS MEDICAL BOARD",
            "identifier": "125-050955",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.