Active NPI
Orlando B Conanan, M.D.
- Family Medicine Physician
- Baltimore, MD
National Provider Identifier
1972564136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D19502
- Practice address
- 7501 Liberty Rd
Baltimore, MD 21207-3870 - Phone
- (410) 265-5114
- Fax
- (410) 265-8858
- NPI assigned
- Mar 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D19502 | MD | |
| Family Medicine Physician | 207Q00000X | D19502 | MD | Primary |
Addresses
Primary practice location
7501 Liberty Rd
Baltimore, MD 21207-3870
Mailing address
5401 Old Court Rd
Attn: Credentialing
Randallstown, MD 21133-5103
Phone (410) 601-5524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN6601 | Other | MD | R/R MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D19502 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospital Center, Inc | Past | Accepting new patients | |
| Northwest Hospital Center, Inc. | Past | Accepting new patients | |
| Northwest Hospital Center, Inc | Past | Accepting new patients | |
| Northwest Hospital Center, Inc | Internal Medicine | Past | Accepting new patients |
| Northwest Hospital Center, Inc | Past | Accepting new patients | |
| Northwest Hospital Center, Inc | Past | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/136fea15-c667-40bc-9ed2-b1115d62123b/
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Randallstown, MD
- NPI 1437255734
-
- Surgery Physician
- Randallstown, MD
- NPI 1447354790
-
- Neurology Physician
- Randallstown, MD
- NPI 1467462028
-
- Hospitalist Physician
- Randallstown, MD
- NPI 1508961988
Internal Medicine
-
- Surgery of the Hand (Surgery) Physician
- Randallstown, MD
- NPI 1982708228
-
- Pulmonary Disease Physician
- Randallstown, MD
- NPI 1740290980
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1972564136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 OLD COURT RD",
"address_2": "ATTN: CREDENTIALING",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211335103",
"telephone_number": "410-601-5524",
"fax_number": "410-601-8946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 LIBERTY RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212073870",
"telephone_number": "410-265-5114",
"fax_number": "410-265-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONANAN",
"first_name": "ORLANDO",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D19502",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D19502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R/R MEDICARE GROUP #",
"identifier": "CN6601",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.