Individual provider Active NPI

Connor McNamee, MD

  • Family Medicine Physician
  • Taylor, MI
National Provider Identifier
1740809730
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301508641 Issued in MI
Practice address
25350 Eureka Rd
Taylor, MI 48180-5050
Phone
(313) 307-0088
Fax
(313) 281-2235
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X 4301508641 MI
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301508641 MI Primary

Addresses

Primary practice location

25350 Eureka Rd
Taylor, MI 48180-5050

Mailing address

633 Westminster St
Detroit, MI 48202-1664
Phone (614) 216-9252

Other practice location 1

19305 W Seven Mile Dr
Detroit, MI 48219-2598
Phone (313) 538-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241115003342 MI Practitioner - Family Practice 3072937200 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Laboratory 1, Inc Current Accepting new patients
Scotsdale Women'S Center Single Specialty Past Accepting new patients

Locations

19451 W Warren Ave
Detroit, MI 48228
Phone (313) 307-0088

25350 Eureka Rd
Ste B
Taylor, MI 48180
Phone (734) 905-0100

25350 Eureka Rd
Taylor, MI 48180
Phone (313) 307-0088

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1740809730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 WESTMINSTER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021664",
            "telephone_number": "614-216-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25350 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805050",
            "telephone_number": "313-307-0088",
            "fax_number": "313-281-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19305 W Seven Mile Dr",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482192598",
            "country_code": "US",
            "telephone_number": "313-538-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNAMEE",
        "first_name": "CONNOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "MI",
            "license": "4301508641",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301508641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.