Organization Active NPI

James J McConnell MD PC

  • Internal Medicine Physician
  • Wytheville, VA
National Provider Identifier
1821314311
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101024668 Issued in VA
Legal business name
JAMES J MCCONNELL MD PC
Practice address
365 W Ridge Rd
Wytheville, VA 24382-1008
Phone
(276) 228-8951
Fax
(276) 228-2019
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Ms. Pamela Sabatino McConnell
Title
Vice President
Phone
(276) 228-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101024668 VA Primary

Addresses

Primary practice location

365 W Ridge Rd
Wytheville, VA 24382-1008

Mailing address

365 W Ridge Rd
Wytheville, VA 24382-1008
Phone (276) 228-8951

Other identifiers 1

IdentifierTypeStateIssuer
6081916MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100630000274 VA Part B Supplier - Clinic/Group Practice 7911038278 Receives reassigned benefits from 1 practitioner
Practice locations: Wytheville, VA

National Provider Directory

National Provider Directory

Locations

365 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-8951

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1821314311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821008",
            "telephone_number": "276-228-8951",
            "fax_number": "276-228-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821008",
            "telephone_number": "276-228-8951",
            "fax_number": "276-228-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J MCCONNELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SABATINO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "276-228-4044",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101024668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6081916",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.