Individual provider Active NPI

David G Conatser, MD

  • Obstetrics & Gynecology Physician
  • Greenville, KY
National Provider Identifier
1922034594
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22471 Issued in KY
Practice address
226 Hopkinsville St
Greenville, KY 42345-1214
Phone
(270) 377-3077
Fax
(270) 377-3002
NPI assigned
Jun 24, 2006
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22471 KY Primary

Addresses

Primary practice location

226 Hopkinsville St
Greenville, KY 42345-1214

Mailing address

480 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-5777

Other identifiers 2

IdentifierTypeStateIssuer
31000458MedicaidKY
000000303875OtherKYANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20111107000347 KY Practitioner - Obstetrics/Gynecology 9537332630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

226 Hopkinsville St
Greenville, KY 42345-1214
Phone (270) 377-3077

480 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-5777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24710KYMDEndocrinology, Diabetes & Metabolism Physician
22471KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Western Kentucky, Inc. CurrentSince Jul 1, 2003 Accepting new patients
Community Health Centers of Western Kentucky, Inc. CurrentSince Jul 1, 2003 Accepting new patients
Todd Oller Anesthesia Services, PLLC Past Accepting new patients
Community Health Centers of Western Kentucky Inc Obstetrics & Gynecology Past Accepting new patients
Paradise Anesthesia Services, LLC Past Accepting new patients

Locations

226 Hopkinsville St
Greenville, KY 42345
Phone (270) 377-3077

480 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-5777

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1922034594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451124",
            "telephone_number": "270-338-5777",
            "fax_number": "270-338-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451214",
            "telephone_number": "270-377-3077",
            "fax_number": "270-377-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONATSER",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "22471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31000458",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000303875",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, KY

Sources for this page

Verify at the official NPI Registry.