NPIMap

Organization Active NPI

Conn Family Medicine, P.C.

  • Family Medicine Physician
  • Connellsville, PA
National Provider Identifier
1962665018
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD427026 Issued in PA
Legal business name
CONN FAMILY MEDICINE, P.C.
Practice address
2616 Memorial Blvd
Suite B
Connellsville, PA 15425-1418
Phone
(724) 628-9350
Fax
(724) 628-9353
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Richard Alan Conn, MD/PHD
Title
Physicain
Phone
(724) 628-9350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD427026 PA Primary

Addresses

Primary practice location

2616 Memorial Blvd
Suite B
Connellsville, PA 15425-1418

Mailing address

2616 Memorial Blvd
Suite B
Connellsville, PA 15425-1418
Phone (724) 628-9350

National Provider Directory

National Provider Directory

Locations

2616 Memorial Blvd
Ste B
Connellsville, PA 15425
Phone (724) 628-9350

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1962665018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 MEMORIAL BLVD",
            "address_2": "SUITE B",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251418",
            "telephone_number": "724-628-9350",
            "fax_number": "724-628-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 MEMORIAL BLVD",
            "address_2": "SUITE B",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251418",
            "telephone_number": "724-628-9350",
            "fax_number": "724-628-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONN FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "CONN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICAIN",
        "authorized_official_telephone_number": "724-628-9350",
        "authorized_official_credential": "MD/PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD427026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.