Active NPI
Anita Johnson Connell, M.D.
- Obstetrics & Gynecology Physician
- Seattle, WA
National Provider Identifier
1811029903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00019429
- Practice address
- 1229 Madison St Ste 1410
Seattle, WA 98104-3538 - Phone
- (206) 329-3422
- Fax
- (206) 328-4636
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD00019429 | WA | Primary |
Addresses
Primary practice location
1229 Madison St Ste 1410
Seattle, WA 98104-3538
Mailing address
PO Box 50150
Bellevue, WA 98015-0150
Phone (425) 228-5228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1937705 | Medicaid | WA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Reproductive Healthcare PS | Obstetrics & Gynecology | Past | Accepting new patients |
| Seattle Colon and Rectal Clinic Inc PS | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Seattle, WA
- NPI 1538331293
-
- Obstetrics & Gynecology Physician
- Seattle, WA
- NPI 1295831162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1811029903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50150",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980150150",
"telephone_number": "425-228-5228",
"fax_number": "425-228-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 MADISON ST STE 1410",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043538",
"telephone_number": "206-329-3422",
"fax_number": "206-328-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "ANITA",
"middle_name": "JOHNSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00019429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1937705",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.