Active NPI
Gary Lee Conell
- Family Medicine Physician
- North Platte, NE
National Provider Identifier
1992731467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12350
- Practice address
- 611 W Francis St
Suite 100
North Platte, NE 69101-0620 - Phone
- (308) 534-2532
- Fax
- (308) 534-6615
- NPI assigned
- Jun 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12350 | NE | Primary |
Addresses
Primary practice location
611 W Francis St
Suite 100
North Platte, NE 69101-0620
Mailing address
2201 N Highway 83
North Platte, NE 69101-9250
Phone (308) 532-9402
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 |
|---|---|---|---|
| 12350 | NE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1992731467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 N HIGHWAY 83",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691019250",
"telephone_number": "308-532-9402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W FRANCIS ST",
"address_2": "SUITE 100",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691010620",
"telephone_number": "308-534-2532",
"fax_number": "308-534-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONELL",
"first_name": "GARY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "12350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.