NPIMap

Individual provider Active NPI

Christopher A. Giddings Connolly, MD

  • Sleep Medicine (Family Medicine) Physician
  • Mount Pocono, PA
National Provider Identifier
1992094957
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
MD457078 Issued in PA
Practice address
126 Market Way
Mt. Pocono, PA 18344-3842
Phone
(570) 839-3633
Fax
(570) 839-6490
NPI assigned
Mar 30, 2011
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Sleep Medicine (Family Medicine) Physician 207QS1201X MD457078 PA Primary

Addresses

Primary practice location

126 Market Way
Mt. Pocono, PA 18344-3842

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgiddingsconnolly131181@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315001369 PA Practitioner - Family Practice 0446556641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

126 Market Way
Mt Pocono, PA 18344-1039
Phone (570) 839-3633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD457078PAMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2016 Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2016 Accepting new patients
Geisinger Bloomsburg Hospital Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2461

100 N Academy Ave
Danville, PA 17822

126 Market Way
Mount Pocono, PA 18344
Phone (570) 839-3633

12 Kirby Ave
Mountain Top, PA 18707
Phone (570) 474-5978

125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500

Interoperability endpoints

  • Direct secure messaging: cgiddingsconnolly131181@direct.geisinger.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1992094957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MARKET WAY",
            "city": "MT. POCONO",
            "state": "PA",
            "postal_code": "183443842",
            "telephone_number": "570-839-3633",
            "fax_number": "570-839-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDINGS CONNOLLY",
        "first_name": "CHRISTOPHER",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD457078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgiddingsconnolly131181@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "126 Market Way",
            "city": "Mt. Pocono",
            "state": "PA",
            "country_code": "US",
            "postal_code": "183443842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pocono, PA

Sources for this page

Verify at the official NPI Registry.