DR. LLOYD GEORGE CONNELLY III (NPI# 1326254871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326254871 |
| Entity Type | Individual |
| Full Name | DR. LLOYD GEORGE CONNELLY III |
| Credential | M.D., PH.D. |
| Practice Address |
9800 Se Sunnyside Rd Clackamas OR 97015-9750 |
| Practice Telephone | 5036522880 |
| Mailing Telephone | 5036522880 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD271979 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
9800 SE SUNNYSIDE RD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-9750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144210949 | Stasha Anne Hornbeck | Dietitian, Registered | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2005-10-24 |
| 1386283620 | Aaron Joseph David | Student in an Organized Health Care Education/Training Program | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2020-01-03 |
| 1902469281 | Brooke N Garofalo | Student in an Organized Health Care Education/Training Program | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2019-04-22 |
| 1144789777 | Amber Sue Osborn | Registered Nurse | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2019-03-13 |
| 1841770013 | Ellen Anderson | Occupational Therapist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2018-08-17 |
| 1447747266 | Keri Lynne Barnett | Registered Nurse | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2018-04-17 |
| 1437671617 | Amber Marie Morrison | Physician Assistant | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2017-07-10 |
| 1649715947 | Nora E Lee | Pharmacist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2016-12-22 |
| 1679017081 | Kristin Kruskamp | Pharmacist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2016-12-05 |
| 1902348857 | Michaela Zucker | Dietitian, Registered | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164765293 | Joshua Starbuck Virgen Goldner | Emergency Medicine | 10180 Se Sunnyside Rd Dept Of, Clackamas, OR 97015-8970 | 2013-03-27 |
| 1447359914 | John Ross Steeh | Emergency Medicine | 10180 S.e. Sunnyside Road, Clackamas, OR 97015 | 2006-09-21 |
| 1417362104 | Brian Alan Stevens | Emergency Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015 | 2014-06-22 |
| 1972922896 | Jennifer Walker-kinde | Emergency Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015 | 2014-04-08 |
| 1790103463 | Nicholas Carl Asakawa | Emergency Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2014-03-31 |
| 1497172316 | Julia Chang Bullick | Emergency Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2014-03-28 |
| 1679913289 | Seth Ernest Meyer | Emergency Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2013-06-27 |
| 1144665902 | Nicholas Anthony Mulcahy | Emergency Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2013-05-07 |
| 1003159716 | Megan Lea Kelly | Emergency Medicine | 10180 Se Sunnyside Rd, Kaiser Sunnyside Medical Center, Clackamas, OR 97015-7232 | 2013-04-01 |
| 1356616858 | Evan Miller | Emergency Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-03-16 |
| Find all providers in CLACKAMAS | ||||
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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.