David Thomas Connolly, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1590 Issued in FL

Practice address

7101 Park St
Seminole, FL 33777-4632

Phone

(727) 397-1559

Fax

(727) 391-0838

NPI assigned

Apr 11, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Lakeview Healthcare System, LLCGroup PAC ID 8921074733, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: david.connolly.2@27472.direct.athenahealth.com

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.

• Lakeview Healthcare System, LLC

  • Internal Medicine Physician
  • Summerfield, FL
  • NPI 1841484979
  Medicare reassignment Care Compare group
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1568563187
  NPD
• Trinity Medical Physicians, LLC

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1225652878
  NPD
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1912579673
  NPD (past)

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1902225402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277592",
            "telephone_number": "321-332-6947",
            "fax_number": "407-313-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 PARK ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337774632",
            "telephone_number": "727-397-1559",
            "fax_number": "727-391-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-11",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Robert Colletti
• Maddison Elizabeth Collins, M.S., CCC-SLP
• Banks Colton, RN
• Comfortable Care Dental Health Professionals, P.a.
• Compassion Mental Health Services
• Kimberly Mulhollen Coon
• Cora Health Services Inc
• Marlene Corrales, RN
• Stephen Coulson, M.A., CCC-A
• Steven Richard Cox, PT

• General Practice Physician in Seminole, FL
• Providers in Seminole, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.