Jack Autrey Conoley, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

N5635 Issued in TX

Practice address

1195 Garner Field Rd
Suite 300
Uvalde, TX 78801-4820

Phone

(830) 278-3086

NPI assigned

Apr 22, 2007

Last updated

Nov 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Orthopedic Surgery

Education

University of Texas Southwestern Medical School at Dallas, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uvalde Medical and Surgical AssociatesGroup PAC ID 3971650672, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uvalde Memorial Hospital Hospital, Uvalde, TX, CCN 451387
• Val Verde Regional Medical Center Hospital, Del Rio, TX, CCN 450154

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Uvalde Medical and Surgical Associates

  • Surgery Physician
  • Uvalde, TX
  • NPI 1730324500

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Uvalde Medical and Surgical Associates

  • Rural Health Clinic/Center
  • Uvalde, TX
  • NPI 1891126959
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Uvalde County Hospital Authority

  dba Uvalde Memorial Hospital

  • Critical Access Hospital
  • Uvalde, TX
  • NPI 1740288505
  Care Compare affiliation
• Val Verde Hospital Corporation

  dba Val Verde Regional Medical Center

  • General Acute Care Hospital
  • Del Rio, TX
  • NPI 1104830900
  Care Compare affiliation

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1780802389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 GARNER FIELD RD",
            "address_2": "SUITE 300",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014820",
            "telephone_number": "830-278-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 GARNER FIELD RD",
            "address_2": "SUITE 300",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014820",
            "telephone_number": "830-278-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOLEY",
        "first_name": "JACK",
        "middle_name": "AUTREY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N5635",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "N5635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "N5635",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Health Development, Inc. (Center for Community Wellness)
• Community Health Development, Inc.
• Community Health Development, Inc. (Our Health - UMH)
• Matthew Ross Connell, PT, DPT
• Troy Frederick Conner, CRNA
• Sarah Contreras, RBT
• David Florentino Cortez, PTA
• Eliana Cox, RBT
• Steven K Cox, OD
• Garrett Cruce, PT

• Orthopaedic Surgery Physician in Uvalde, TX
• Providers in Uvalde, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.