Active NPI
Connie C Hutton
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Conroe, TX
National Provider Identifier
1760402598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- D9506
- Practice address
- 500 Medical Center Blvd
300
Conroe, TX 77304-2889 - Phone
- (936) 539-5000
- Fax
- (936) 539-5027
- NPI assigned
- Jul 21, 2006
- Last updated
- Jan 29, 2008
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | D9506 | TX | Primary |
Addresses
Primary practice location
500 Medical Center Blvd
300
Conroe, TX 77304-2889
Mailing address
PO Box 404554
Atlanta, GA 30384-4554
Phone (615) 373-7600
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1760402598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 404554",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303844554",
"telephone_number": "615-373-7600",
"fax_number": "615-373-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MEDICAL CENTER BLVD",
"address_2": "300",
"city": "CONROE",
"state": "TX",
"postal_code": "773042889",
"telephone_number": "936-539-5000",
"fax_number": "936-539-5027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTON",
"first_name": "CONNIE",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "D9506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
- Hunts Legacy Group LLC (Comfort Cares of East Texas)
- Huntsville Clinic, Inc. (Conroe Treatment & Recovery Center)
- Lu-Cheree De Jager Hurt, LPC
- Yve Thaller Huttenbach, M.D.
- Brooks Hutton, APRN
- Kimberly Michelle Morris Ibarra
- Adel Asaad Ibrahim, M.D.
- Rania Ibrahim, D.O
- David Icard
- Icgh - Imaging Centers of Greater Houston LLC (Conroe Open MRI)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.