NPIMap

Organization Active NPI

Pamela J Connors, MD, PC

  • Gastroenterology Physician
  • Westerly, RI
National Provider Identifier
1881939726
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
034199 Issued in CT
Legal business name
PAMELA J CONNORS, MD, PC
Practice address
80 Beach St
Westerly, RI 02891
Phone
(401) 348-7010
Fax
(401) 348-7020
NPI assigned
Dec 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Joanne Ward
Title
Office Manager
Phone
(401) 348-7010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X 034199 CT Primary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X MD9057 RI

Addresses

Primary practice location

80 Beach St
Westerly, RI 02891

Mailing address

80 Beach St
Westerly, RI 02891-2718
Phone (401) 348-7010

Other names 1

  • Gastroenterology and Digestive Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130124000025 RI Part B Supplier - Clinic/Group Practice 3870746944 Receives reassigned benefits from 4 practitioners
Practice locations: Westerly, RI
O20130318000427 CT Part B Supplier - Clinic/Group Practice 3870746944 Receives reassigned benefits from 1 practitioner
Practice locations: Norwich, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1881939726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912718",
            "telephone_number": "401-348-7010",
            "fax_number": "401-348-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-348-7010",
            "fax_number": "401-348-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA J CONNORS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-348-7010"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "034199",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "MD9057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterology and Digestive Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gastroenterology and Digestive Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westerly, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.