Active NPI
James E. Conley, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Lima, OH
National Provider Identifier
1730105941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35-05-7619-C
- Practice address
- 730 W Market St
Lima, OH 45801-4602 - Phone
- (419) 221-2042
- Fax
- (419) 996-5298
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35-05-7619-C | OH | Primary |
Addresses
Primary practice location
730 W Market St
Lima, OH 45801-4602
Mailing address
10335 N Port Washington Rd
Suite 250
Mequon, WI 53092-5763
Phone (262) 240-9870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167506 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1730105941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10335 N PORT WASHINGTON RD",
"address_2": "SUITE 250",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925763",
"telephone_number": "262-240-9870",
"fax_number": "262-240-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 W MARKET ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458014602",
"telephone_number": "419-221-2042",
"fax_number": "419-996-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "JAMES",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35-05-7619-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2167506",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
- Compassus BSMH Lima Hospice LLC
- Compassus BSMH Lima Hospice LLC
- Comprehensive Internal Medicine Physicians of Lima
- Ashley Lynn Conaway
- Ikuko Conley, RPH
- Joshua Anthony Conley
- Logan Conley, PHARMD, RPH
- Connect for Community Behavioral Health Inc.
- Connect for Community Behavioral Health Inc.
- Tiffany Conner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.