MR. PATRICK WELLINGTON CONNELLY (NPI# 1619965548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619965548 |
| Entity Type | Individual |
| Full Name | MR. PATRICK WELLINGTON CONNELLY |
| Other Name | MR. PATRICK WELLINGTON CONNELLY |
| Credential | MD |
| Practice Address |
5300 S Sutter Dr Suite 11 Show Low AZ 85901-8050 |
| Practice Telephone | 9285379844 |
| Practice Fax Number | 9285374437 |
| Mailing Telephone | 9285379844 |
| Mailing Fax Number | 9285374437 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2016-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 34632 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | GROUP NPI | 1255429353 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306047782 | Patrick Connelly | Optometrist | Town Center Eye Care, 400 Barrett Parkway, Suite 297, Kennesaw, GA 30144-4958 | 2007-05-31 |
| 1659402691 | Patrick Ignatius Connelly | Psychologist | 85 Raritan Ave Ste 400, Highland Park, NJ 08904-2439 | 2007-03-09 |
| 1134225659 | Patrick Sean Connelly | Chiropractor | 42 W High St, East Hampton, CT 06424-1059 | 2006-09-15 |
| 1457525883 | Patrick J Connelly | Dentist | 2101 Riverside Dr, Beloit, WI 53511-2932 | 2008-04-16 |
| 1417016908 | Patrick R Connelly | Counselor | 3069 English Creek Ave, Suite 224, Egg Harbor Township, NJ 08234-9708 | 2006-12-08 |
| 1144217951 | Patrick J Connelly | Pathology | 1 Wyoming St, Dayton, OH 45409-2722 | 2005-10-06 |
| Street Address |
5300 S SUTTER DR SUITE 11 |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-8050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407601 | Simranjit Singh Galhotra | Internal Medicine | 5300 S Sutter Dr, Ste 1, Show Low, AZ 85901-8050 | 2005-06-18 |
| 1427344415 | Travis Hamblin | Dermatology | 5300 S Sutter Dr, Suite 12, Show Low, AZ 85901-8054 | 2011-06-28 |
| 1639315948 | Kimberly Ann Washburn | Obstetrics & Gynecology | 5300 S Sutter Dr, Ste 11, Show Low, AZ 85901-8050 | 2008-12-17 |
| 1255429353 | Connelly Care Pllc | Specialist | 5300 S Sutter Dr, Ste 11, Show Low, AZ 85901-8054 | 2006-10-11 |
| 1083702294 | Mary E Vega | Nurse Practitioner | 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901-8050 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417250804 | Jeffrey S. Izenberg, Do, Ltd | Obstetrics & Gynecology | 5171 Cub Lake Rd Ste B210, Show Low, AZ 85901-7866 | 2010-12-07 |
| 1215222013 | Benjamin Russell Richardson | Obstetrics & Gynecology | 5171 Cub Lake Rd Ste B210, Show Low, AZ 85901-7866 | 2011-06-09 |
| 1639315948 | Kimberly Ann Washburn | Obstetrics & Gynecology | 5300 S Sutter Dr, Ste 11, Show Low, AZ 85901-8050 | 2008-12-17 |
| 1740432590 | University Ob-gyn, LLC | Obstetrics & Gynecology | 5171 Cub Lake Rd, Bldg B #210, Show Low, AZ 85901 | 2008-10-10 |
| 1285670984 | Jeffrey S Izenberg | Obstetrics & Gynecology | 5171 Cub Lake Rd, Suite B210, Show Low, AZ 85901-7888 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724477 | Lilac Healthcare LLC | Obstetrics & Gynecology | 655 S Dobson Rd Ste A101, Chandler, AZ 85224-5675 | 2019-11-15 |
| 1619538907 | Marchand Obgyn and Partners Pllc | Obstetrics & Gynecology | 10238 E Hampton Ave Ste 212b, Mesa, AZ 85209-3316 | 2019-06-26 |
| 1215594809 | Deleonguerrero Obgyn, Pllc | Obstetrics & Gynecology | 1100 N. San Francisco St, Ste B, Flagstaff, AZ 86001-3200 | 2019-05-20 |
| 1902378342 | Rmercadomd, LLC | Obstetrics & Gynecology | 1500 North Wilmot Road, #c-260, Tucson, AZ 85712-4416 | 2018-12-26 |
| 1851863591 | William Quesenberry | Obstetrics & Gynecology | 85 Evergreen Dr, Sedona, AZ 86336-3043 | 2018-12-19 |
| 1982173779 | Kathryn Diana Kenton Kohler | Obstetrics & Gynecology | 767 E Canyon Rock Rd, Green Valley, AZ 85614-5246 | 2018-11-21 |
| 1003313362 | Womens Health Palace Pllc | Obstetrics & Gynecology | 1491 N Arizona Blvd Ste 110, Coolidge, AZ 85128-3261 | 2018-04-12 |
| 1477050375 | Blue Ye Maya LLC | Obstetrics & Gynecology | 531 E Lynwood St Fl 2, Phoenix, AZ 85004-1626 | 2018-04-09 |
| 1023527363 | Martha Prendergast | Obstetrics & Gynecology | 24749 S Brookerson Rd, Willcox, AZ 85643 | 2017-09-28 |
| 1497295836 | Jei Holdings, LLC | Obstetrics & Gynecology | 9377 E Bell Rd Ste 313, Scottsdale, AZ 85260-1504 | 2017-03-05 |
| Find all providers with the same taxonomy | ||||
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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.