Active NPI
Michael F Conar, P.AP-C
- Medical Physician Assistant
- Cleveland, TN
National Provider Identifier
1790879310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA812
- Practice address
- 2535 Georgetown Rd NW
Cleveland, TN 37311-3534 - Phone
- (423) 244-0311
- Fax
- (615) 216-8538
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA812 | TN | Primary |
Addresses
Primary practice location
2535 Georgetown Rd NW
Cleveland, TN 37311-3534
Mailing address
2535 Georgetown Rd NW
Cleveland, TN 37311-3534
Phone (423) 244-0311
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000307 | Other | TN | BCBS OF TN |
| 621038898 | Other | TN | TAX ID |
| TN0103 | Other | TN | JOHN DEERE |
| 970027904 | Other | TN | RAILROAD MEDICARE |
| FP62706 | Other | WORKERS COMP | |
| 0140208 | Other | TN | UNITED HEALTH CARE |
| 3669187 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2535 Georgetown Rd NW
Cleveland, TN 37311-3534
Phone (423) 389-8000
Hospital & facility affiliations
- Amedisys Home Health Chattanooga
- Commonspirit Health at Home - Chattanooga
- Affiliate of Vitruvian Health
- Memorial Healthcare System, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 812 | TN | MD | Hearing Instrument Specialist |
| PA812 | TN | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Cleveland, TN
- NPI 1568733863
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, TN
- NPI 1255171096
-
- Home Health Agency
- Chattanooga, TN
- NPI 1922362144
-
- Home Health Agency
- Chattanooga, TN
- NPI 1326096009
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790879310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 GEORGETOWN RD NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113534",
"telephone_number": "423-244-0311",
"fax_number": "615-216-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 GEORGETOWN RD NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113534",
"telephone_number": "423-244-0311",
"fax_number": "615-216-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONAR",
"first_name": "MICHAEL",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "P.AP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-03-07",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "PA812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "2000307",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "621038898",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN0103",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970027904",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "FP62706",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0140208",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3669187",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TN
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- Glyndora Spring Condon, MS, LPC, CTMH, CCTP,
- Lindsay Ellis Conger
- Patricia Elizabeth Conn, LPC/MHSP
- Diego Constante Jr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.