JENNIFER MARIE CONLON (NPI# 1023194248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023194248 |
Entity Type | Individual |
Full Name | JENNIFER MARIE CONLON |
Credential | MD |
Practice Address |
9000 North Main Street Suite 332 Dayton OH 45415-1185 |
Practice Telephone | 9378327337 |
Practice Fax Number | 9378324817 |
Mailing Telephone | 9378327337 |
Mailing Fax Number | 9378324817 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
35065320 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS BLUE SHIELD | 000000339085 | 01 | |
BUR CHILDREN W MED HANDIC | 0114414 | 01 | |
UNITED HEALTHCARE | 1333851 | 01 | |
CARESOURCE | 311627276034 | 01 | |
AETNA | 4644133 | 01 | |
OH | 0114414 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356454029 | Jennifer Leocadia Conlon | Physician Assistant | 301 N Cameron St Ste 100, Winchester, VA 22601 | 2006-08-16 |
1578003299 | Jennifer Lynn Conlon | Nurse Practitioner | 4400 Nw 23rd Ave, Gainesville, FL 32606-6580 | 2017-02-28 |
Street Address |
9000 NORTH MAIN STREET SUITE 332 |
City | DAYTON |
State | OH |
Zip Code | 45415-1185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548354665 | Mary Brigid Chitwood | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-03 |
1376679605 | Pediatric Associates of Dayton Inc | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2007-02-23 |
1093864035 | Main Street Family Practice Inc | Family Medicine | 9000 North Main Street, Suite 403, Dayton, OH 45415-1180 | 2007-01-09 |
1588740708 | John Michael Rahe | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1396821518 | David Lloyd Roer | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1114003332 | Jennifer Michele Feldman | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1932285152 | Linda Marie Meister | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1750467973 | Katherine Hollis Wingate | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1295811412 | Marylynn Broderick Herchline | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1104902329 | Gary Michael Youra | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
Find all providers in zip 45415 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548354665 | Mary Brigid Chitwood | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-03 |
1588740708 | John Michael Rahe | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1396821518 | David Lloyd Roer | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1114003332 | Jennifer Michele Feldman | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1932285152 | Linda Marie Meister | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1750467973 | Katherine Hollis Wingate | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1295811412 | Marylynn Broderick Herchline | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1104902329 | Gary Michael Youra | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-31 |
1174617203 | Tracy Katherine Wick | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396264453 | Sinem Akgul | Pediatrics | Livingston Ambulatory Center, 380 Butterfly Gardens Drive, Columbus, OH 43215 | 2017-09-10 |
1871890764 | Saroj Ajitkumar Pagedar | Pediatrics | 2317 Brigadoon Ct, Westlake, OH 44145-3024 | 2011-02-11 |
1801001078 | Ernesto Cabales Bunye | Pediatrics | 13501 Bennington Blvd, Middleburg Heights, OH 44130-7131 | 2007-05-11 |
1295812261 | Hanan Nashed | Pediatrics | 12700 Lake Ave, Suite 705, Lakewood, OH 44107-1576 | 2006-11-01 |
1679659890 | Julie Smith Fennig | Pediatrics | 1775 Delco Park Dr, Kettering, OH 45420-1398 | 2006-10-31 |
1891881504 | Walter R Lucas | Pediatrics | 17075 Pearl Road, Strongsville, OH 44136 | 2006-10-04 |
1033219365 | Kevin A. Horvath | Pediatrics | 1483 West Main Street, Tipp City, OH 45371 | 2006-09-25 |
1366544926 | Enaas F Kasheer | Pediatrics | 3966 Brown Park Dr, Suites C & D, Hilliard, OH 43026-1164 | 2006-09-03 |
1851306310 | Trihealth Q, LLC | Pediatrics | 3621 Rossgate Ct, Hamilton, OH 45013-9558 | 2006-07-30 |
1104874502 | Jessica A Kahn | Pediatrics | 3333 Burnet Ave Ml 4000, Cincinnati, OH 45229-3026 | 2006-05-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.