Connor Liam Carmichael, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

310006 Issued in NY

Practice address

81 W 115TH St
New York, NY 10026-3138

Phone

(212) 426-0088

NPI assigned

Apr 12, 2018

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Family Practice

Education

Pennsylvania State University College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Healthcare Network IncGroup PAC ID 7416855143, 83 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Community Healthcare Network Inc

  dba Bronx Health Center

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1316014103
  Medicare reassignment Care Compare group NPD
• Community Healthcare Network, Inc.

  dba Lower East Side Health Center

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1699842500
  NPD
• Community Healthcare Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1639459142
  NPD (past)
• Community Healthcare Network, Inc.

  dba Carribean House Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1811064744
  NPD (past)

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1952808164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 27TH ST APT 12K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169038",
            "telephone_number": "717-644-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W 115TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263138",
            "telephone_number": "212-426-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5141 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100341159",
            "country_code": "US",
            "telephone_number": "212-932-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "CONNOR",
        "middle_name": "LIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "310006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giora Carmi, MA, ATR-BC, LCAT
• Neville Wayne Carmical, MD
• Carmichael Psychology, PLLC
• Chloe Carmichael, PHD
• Christopher Alistair Carmichael
• David Carmichael
• Giselle Anisha Carmichael, NP
• Tammy M Carmichael, BCBA
• Melissa Catherine Carmody-Bavasi, PA-C
• Alexis Marie Carmody, LPCC

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.