George W Conner, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

139892 Issued in NY

Practice address

17 Sherman St
Jamestown, NY 14701

Phone

(716) 484-0173

Fax

(716) 484-0177

NPI assigned

May 6, 2006

Last updated

Jan 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• George W Conner, MD

  • Surgery Physician
  • Jamestown, NY
  • NPI 1760436950
  NPD (past) Authorized official
• Wca Services Corporation

  dba Alstar EMS

  • Ambulance
  • Jamestown, NY
  • NPI 1346277209
  NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  NPD (past)
• Great Lakes Physician Practice PC

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1730599176

  Surgery

  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1841249117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SHERMAN ST",
            "address_2": "SUITE 2000",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017080",
            "telephone_number": "716-484-0173",
            "fax_number": "716-484-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SHERMAN ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "14701",
            "telephone_number": "716-484-0173",
            "fax_number": "716-484-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "GEORGE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "139892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00010261801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1706450",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00686815",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000508598003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comfort Today
• Community Eye Care Specialists P C (Gateway Ophthalmology)
• Community Inclusion Inc (TRC Community Health Center)
• Ella Conley
• Peter B Conley II, OTR/L
• Michael Connor
• Jacquelyn M Conroe, R.N.
• Lauren Michelle Consiglio, RN
• Amy Elizabeth Constantino
• Mark Edward Constantino, OT

• Surgery Physician in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.