Active NPI
Edward J McConnell III, MD
- Internal Medicine Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C1-0001782
- Practice address
- 111 Continental Dr
Suite 406
Newark, DE 19713-4306 - Phone
- (302) 984-2577
- Fax
- (302) 368-1271
- NPI assigned
- Feb 1, 2006
- Last updated
- Mar 6, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C1-0001782 | DE | Primary |
Addresses
Primary practice location
111 Continental Dr
Suite 406
Newark, DE 19713-4306
Mailing address
111 Continental Dr
Suite 406
Newark, DE 19713-4306
Phone (302) 984-2577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0001782 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Delaware, LLC | Internal Medicine | Current | Accepting new patients |
| Alignmed Partners, PC | Current | Accepting new patients | |
| Delaware Diagnostic Services, Inc. | Past | Accepting new patients | |
| Stoney Batter Family Medicine Associates, P.a. | Past | Accepting new patients | |
| Kshama Garg | Internal Medicine | Past | Accepting new patients |
| Regional Medical Group LLC | Past | Accepting new patients |
Locations
32 Buena Vista Dr
New Castle, DE 19720
Phone (302) 328-1582
111 Continental Dr
Ste 102
Newark, DE 19713
Phone (302) 545-1777
111 Continental Dr
Ste 406
Newark, DE 19713
Phone (302) 368-2630
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
715 E King St
Seaford, DE 19973
Phone (302) 536-5628
3034 S DuPont Blvd
Smyrna, DE 19977
Phone (302) 653-5082
700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582
Organizations & group practices 6
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.
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- NPI 1073706099
Internal Medicine
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DE
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- NPI 1164445169
-
- Family Medicine Physician
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- NPI 1891048179
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- Family Medicine Physician
- Wilmington, DE
- NPI 1649215625
-
- Internal Medicine Physician
- Potomac, MD
- NPI 1841744737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1942272315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CONTINENTAL DR",
"address_2": "SUITE 406",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134306",
"telephone_number": "302-984-2577",
"fax_number": "302-368-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CONTINENTAL DR",
"address_2": "SUITE 406",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134306",
"telephone_number": "302-984-2577",
"fax_number": "302-368-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "EDWARD",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0001782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.