Organization Active NPI

James W McConnell MD PA

  • Specialist
  • Stuart, FL
National Provider Identifier
1811069214
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME12379 Issued in FL
Legal business name
JAMES W MCCONNELL MD PA
Practice address
410 SE Hibiscus Ave
Stuart, FL 34996-2550
Phone
(772) 283-0226
Fax
(772) 283-0480
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James William McConnell, MD
Title
President
Phone
(772) 283-0226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME12379 FL Primary

Addresses

Primary practice location

410 SE Hibiscus Ave
Stuart, FL 34996-2550

Mailing address

410 SE Hibiscus Ave
Stuart, FL 34996-2550
Phone (772) 283-0226

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811069214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SE HIBISCUS AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962550",
            "telephone_number": "772-283-0226",
            "fax_number": "772-283-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SE HIBISCUS AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962550",
            "telephone_number": "772-283-0226",
            "fax_number": "772-283-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W MCCONNELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-283-0226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME12379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.