Individual provider Active NPI

William Chance Conner, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Austin, TX
National Provider Identifier
1801887864
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
M2291 Issued in TX
Practice address
1010 W 40TH St
Austin, TX 78756-4010
Phone
(512) 459-8753
Fax
(512) 651-8441
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X M2291 TX Primary

Addresses

Primary practice location

1010 W 40TH St
Austin, TX 78756-4010

Mailing address

1010 W 40TH St
Austin, TX 78756-4010
Phone (512) 459-8753

Other practice location 1

300 University Blvd
Round Rock, TX 78665-1032
Phone (512) 509-0100

Other identifiers 1

IdentifierTypeStateIssuer
336839101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wconner1301405@direct.sw.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140417001610 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 0749459238 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Uniformed Services Uhs Fe Hebert School of Med, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Cardiothoracic and Vascular Surgeons,PAGroup PAC ID 3870577729, 34 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

200 E Cesar Chavez St
G140 Baylor Scott and White Clinic Austi
Austin, TX 78701-4289
Phone (512) 654-4100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

300 University Blvd
Round Rock, TX 78665-1032
Phone (512) 509-0200

302 University Blvd
Round Rock, TX 78665-1032
Phone (512) 509-0200

3201 S Austin Ave
Suite 255
Georgetown, TX 78626-7644
Phone (512) 459-8753

425 University Blvd
Round Rock, TX 78665-1053
Phone (512) 509-0200

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)36
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2291TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic CurrentSince Jun 7, 2024 Accepting new patients
Citizen'S Medical Center County of Victoria Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2025 Accepting new patients
Scott & White Clinic Current Accepting new patients
Cardiothoracic and Vascular Surgeons,PA CurrentSince Apr 1, 2014 Accepting new patients
Scott & White Clinic CurrentSince Jun 7, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1010 W 40th St
Austin, TX 78756
Phone 5124598753102

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

3201 S Austin Ave
Ste 255
Georgetown, TX 78626
Phone (512) 501-4287

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

300 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

2700 Citizens Plz
Ste 300
Victoria, TX 77901
Phone (361) 573-0756

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/856/brand/1/csg/1/fhir/r4
  • Direct secure messaging: william.conner.1@856.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1801887864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W 40TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564010",
            "telephone_number": "512-459-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W 40TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564010",
            "telephone_number": "512-459-8753",
            "fax_number": "512-651-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651032",
            "country_code": "US",
            "telephone_number": "512-509-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "WILLIAM",
        "middle_name": "CHANCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "M2291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336839101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wconner1301405@direct.sw.org",
            "affiliation": "N",
            "address_1": "300 University Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.