Individual provider Active NPI

Matthew Pierce Connor, MD

  • Otolaryngology Physician
  • Naples, FL
National Provider Identifier
1831412295
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME139236 Issued in FL
Practice address
400 8TH St N
Naples, FL 34102-5519
Phone
(239) 262-1171
Fax
(239) 567-3630
NPI assigned
Mar 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME139236 FL Primary

Addresses

Primary practice location

400 8TH St N
Naples, FL 34102-5519

Mailing address

6321 Daniels Pkwy Ste 200
Fort Myers, FL 33912-4773
Phone (239) 416-8101

Other names 1

  • N/a N/a N/a Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190621000339 FL Practitioner - Otolaryngology 2860719598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

400 8TH St N
Naples, FL 34102-5519
Phone (239) 226-2727

Hospital & facility affiliations

  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26417TXMDOrthodontics and Dentofacial Orthopedic Dentist
ME139236FLMDOtolaryngology Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jul 5, 2021 Accepting new patients
Precision Healthcare Specialists, LLC Otolaryngology CurrentSince Mar 11, 2024 Accepting new patients
Millennium Physician Group LLC CurrentSince Jul 5, 2021 Accepting new patients

Locations

9500 Bonita Beach Rd SE
Ste 201
Bonita Springs, FL 34135
Phone (239) 319-2195

6321 Daniels Pkwy
Ste 200
Fort Myers, FL 33912
Phone (855) 674-7400

13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

977 N Collier Blvd
Ste 109
Marco Island, FL 34145
Phone (239) 262-1171

400 8th St N
Naples, FL 34102
Phone (239) 261-5511

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mconnor@phs.emadirect.md

Organizations & group practices 3

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 1

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": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1831412295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 DANIELS PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124773",
            "telephone_number": "239-416-8101",
            "fax_number": "239-402-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 8TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025519",
            "telephone_number": "239-262-1171",
            "fax_number": "239-567-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "MATTHEW",
        "middle_name": "PIERCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-12",
        "last_updated": "2024-05-16",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME139236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.