Maureen T Connelly DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2508 Issued in FL

Legal business name

MAUREEN T CONNELLY DPM PA

Practice address

22 SE 6TH St
Boca Raton, FL 33432-6016

Phone

(561) 391-3636

Fax

(561) 395-3041

NPI assigned

Oct 3, 2006

Last updated

Nov 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maureen T Connelly, DPMNPI 1174633374

Title

Owner

Phone

(561) 391-3636

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maureen T Connelly, DPM

  • Podiatrist
  • Boca Raton, FL
  • NPI 1174633374
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1972697035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SE 6TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326016",
            "telephone_number": "561-391-3636",
            "fax_number": "561-395-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SE 6TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326016",
            "telephone_number": "561-391-3636",
            "fax_number": "561-395-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN T CONNELLY DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-391-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972697035",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K2436",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Lee Matus
• Barry I Matza, D.M.D.
• Amy Mau, SLP
• Tamara Lee Maule, O.D.
• Maurasole Boca, LLC (Foot Solutions Boca Raton)
• Joesph Mark Mavica, DO
• Amy H Max, LCSW
• Terry G Max, D.D.S.
• Bea Katrina Abaya Maximo
• Maxx Health, Inc

• Podiatrist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.