Active NPI
John Phillip Connors, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Saint Louis, MO
National Provider Identifier
1891034484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- R5569
- Practice address
- 1733 Kenmont Rd
Saint Louis, MO 63124-1021 - Phone
- (314) 966-6257
- NPI assigned
- Feb 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | R5569 | MO | Primary |
Addresses
Primary practice location
1733 Kenmont Rd
Saint Louis, MO 63124-1021
Mailing address
1733 Kenmont Rd
Saint Louis, MO 63124-1021
Phone (314) 966-6257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359849600000",
"number": "1891034484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 KENMONT RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241021",
"telephone_number": "314-966-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 KENMONT RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241021",
"telephone_number": "314-966-6257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNORS",
"first_name": "JOHN",
"middle_name": "PHILLIP",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-03",
"last_updated": "2013-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MO",
"license": "R5569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.