Conner Family Health Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9701293 Issued in NC

Legal business name

CONNER FAMILY HEALTH CLINIC, PLLC

Practice address

211 W Matthews St
Suite 102
Matthews, NC 28105-1309

Phone

(704) 708-4301

NPI assigned

Oct 25, 2007

Last updated

Aug 17, 2010By 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

William Conner, M.D.NPI 1750375028

Title

Owner

Phone

(704) 708-4301

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• William Jordan Conner, MD

  • Family Medicine Physician
  • Matthews, NC
  • NPI 1750375028
  Authorized official Same address or phone

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1992984066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W MATTHEWS ST",
            "address_2": "SUITE 102",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051309",
            "telephone_number": "704-708-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MATTHEWS ST",
            "address_2": "SUITE 102",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051309",
            "telephone_number": "704-708-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNER FAMILY HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-708-4301",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "2344531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Complete ABA, L.L.C.
• Complete Home Medical, LLC (Mobility & More)
• Comprehensive Rehabilitation of the Carolinas, PLLC
• Donatella M Compton, PT
• Kaitlyn Danielle Connell
• William Jordan Conner, MD
• Lori Conway, MOT, OTR/L
• Steven M Conway, PT
• Juliene Simpson Cook, M.S, NBCT, LPC
• Rachel Cooney

• Family Medicine Physician in Matthews, NC
• Providers in Matthews, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.