JOHN ALLAN CONNORS (NPI# 1336486224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336486224 |
| Entity Type | Individual |
| Full Name | JOHN ALLAN CONNORS |
| Credential | IDC |
| Practice Address |
1 Wahoo Drive Naval Branch Health Clinic Groton CT 06349 |
| Mailing Address |
Naval Submarine Base New London, Box 900 Naval Submarine Medical Research Laboratory Groton CT 06349-5900 |
| Practice Telephone | 8606944123 |
| Mailing Telephone | 8606942558 |
| Mailing Fax Number | 8606944809 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891034484 | John Phillip Connors | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1733 Kenmont Rd, Saint Louis, MO 63124-1021 | 2013-02-03 |
| 1992014617 | John K Connors | Counselor | 11104 Amesite Trl, Austin, TX 78726-2419 | 2010-09-29 |
| 1831271865 | John J. Connors | Psychiatry & Neurology | 175 Humboldt Street, Suite 100, Rochester, NY 14610 | 2006-10-19 |
| 1013925270 | John F Connors | Podiatrist | 200 White Road, Suite 108, Little Silver, NJ 07739 | 2006-08-04 |
| 1982645560 | John Connors | Physical Therapist | 521 Macdade Blvd, Folsom, PA 19033-2210 | 2006-06-08 |
| 1942760921 | John Patrick Connors | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-4037 | 2019-03-25 |
| 1477831121 | John Connors | Nurse Practitioner | 359 Medical Group, 221 Third Street West, Bldg. 1040, Jbsa-randolph Afb, TX 78150 | 2011-07-29 |
| 1902064447 | John Connors | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2008-05-31 |
| 1750508669 | John Joseph Connors | Counselor | 136 Carbonton Rd, Sanford, NC 27330-4000 | 2007-04-20 |
| 1932273448 | John R. Connors | Family Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-11-17 |
| Street Address |
1 WAHOO DRIVE NAVAL BRANCH HEALTH CLINIC |
| City | GROTON |
| State | CT |
| Zip Code | 06349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881604163 | Christina E Toufexis | Pediatrics | 1 Wahoo Drive, Groton, CT 06349 | 2006-08-09 |
| 1184046625 | Lori Rothrock | Physical Therapist | 1 Wahoo Drive, Groton, CT 06349-3809 | 2014-01-17 |
| 1144661125 | Stephen Wade Johndreau | Dentist | 1 Wahoo Drive, Attn: Mr. Mark Mammoth, Groton, CT 06349-5600 | 2013-07-08 |
| 1124302781 | Ann Green | Physical Therapist | 1 Wahoo Drive, Groton, CT 06349-5600 | 2011-09-30 |
| 1306124458 | Garret Tyler Hand | Pharmacist | 1 Wahoo Drive, Groton, CT 06349-5600 | 2011-07-22 |
| 1760668792 | Mark Mammoth | Military Health Care Provider | 1 Wahoo Drive, Naval Branch Health Clinic, Groton, CT 06349-5600 | 2008-01-22 |
| 1609053610 | Karl Frederick Schriever | Military Health Care Provider | 1 Wahoo Drive, Naval Branch Health Clinic, Groton, CT 06349-5600 | 2008-01-22 |
| 1023133832 | Jared E. Akers | Military Health Care Provider | 1 Wahoo Drive, Subace Nlon, Groton, CT 06349 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434347 | Mvca | Optometrist | Navy Submarine Base New London, Bldg 484, Groton, CT 06349 | 2020-10-12 |
| 1376194274 | Christopher Lee Roy Smith | Military Health Care Provider | Uss San Juan (ssn 751), Groton, CT 06349 | 2019-09-23 |
| 1588127575 | Morgan Ross Jones | Student in an Organized Health Care Education/Training Program | Bx 159 Navsubase Nlon, Groton, CT 06349 | 2019-04-08 |
| 1689179640 | David Saunders | Military Health Care Provider | 159 Navsubase Nlon, Groton, CT 06349 | 2018-03-29 |
| 1013264423 | Dennis Buenaventura Custodio | Military Health Care Provider | 69 Trout Ave, Naval Undersea Medical Institute, Groton, CT 06349 | 2012-08-06 |
| 1609013549 | Nicolas David Mendoza | Military Health Care Provider | Uss Hawaii (ssn 776), Fpo, AE 06349 | 2009-01-14 |
| 1881843084 | Mark Francis Jarvis | Military Health Care Provider | Nssc Nlon, Bldg 76, Groton, CT 06349 | 2008-09-11 |
| 1780882738 | Michael Nutt | Military Health Care Provider | Bldg 517 Taugtog Ave, Navsubscol, Groton, CT 06349 | 2007-07-10 |
| 1497811343 | Keith Benjamin Hoekman | Nurse Practitioner | 1 Wahoo Dr, Groton, CT 06349 | 2006-12-28 |
| 1639147606 | David Andrew Peterson Jr. | Military Health Care Provider | Nomi Det Numi Submarine Base Nlon, Building 159, Groton, CT 06349 | 2006-03-08 |
| Find all providers in zip 06349 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052819 | Kenny Daniel Harp | Military Health Care Provider | 59 Deerwood Dr, Groton, CT 06340-2513 | 2020-01-09 |
| 1982244737 | Lonnie Jay Reardon | Military Health Care Provider | 55 South Rd Apt 12c, Groton, CT 06340-4660 | 2020-01-09 |
| 1376194274 | Christopher Lee Roy Smith | Military Health Care Provider | Uss San Juan (ssn 751), Groton, CT 06349 | 2019-09-23 |
| 1679132112 | Hector Salvador Gonzalez | Military Health Care Provider | 2 Bushnell St, Groton, CT 06340-3306 | 2019-06-09 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1558929026 | Joshua Darren Savage | Military Health Care Provider | 35 Chrissos St, Groton, CT 06340-3307 | 2019-05-30 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1689179640 | David Saunders | Military Health Care Provider | 159 Navsubase Nlon, Groton, CT 06349 | 2018-03-29 |
| 1992241228 | Phillip Lawernce Hardy Sr. | Military Health Care Provider | 123 Trout Ave, Naval Undersea Medical Institiute, Groton, CT 06340-5159 | 2017-01-10 |
| Find all providers in GROTON | ||||
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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.