JUSTIN R CONNOR (NPI# 1639333107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639333107 |
| Entity Type | Individual |
| Full Name | JUSTIN R CONNOR |
| Credential | MD |
| Practice Address |
1057 S Bradford St Dover DE 19904-4141 |
| Practice Telephone | 3022311245 |
| Practice Fax Number | 3022311246 |
| Mailing Telephone | 3022311245 |
| Mailing Fax Number | 3022311246 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2018-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 530196961 | DC | Allopathic & Osteopathic Physicians |
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
C1-0009837 | DE | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
C7-0004483 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201159650A | 05 | |
| DE | 250499212 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316339583 | Justin Connor I | Pharmacist | 3980 W Andrew Johnson Hwy, Morristown, TN 37814-1103 | 2015-02-25 |
| 1235440280 | Justin Connor | Physical Therapist | 1850 E Ridge Rd, Rochester, NY 14622-2448 | 2010-06-24 |
| Street Address |
1057 S BRADFORD ST |
| City | DOVER |
| State | DE |
| Zip Code | 19904-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821055831 | Jose R. Tuma-aid, M.d.,p.a | Internal Medicine | 1057 S Bradford St, Dover, DE 19904-4141 | 2006-04-26 |
| 1699279554 | Justin Connor Md LLC | Orthopaedic Surgery | 1057 S Bradford St, Dover, DE 19904 | 2018-03-23 |
| 1790004786 | La Red Health Center, Inc. | Clinic/Center | 1057 S Bradford St, Dover, DE 19904-4141 | 2010-05-31 |
| 1568797389 | Delaware Ob Gyn Amd Womens Health | Obstetrics & Gynecology | 1057 S Bradford St, Dover, DE 19904-4141 | 2009-10-13 |
| 1649475666 | Mark-anthony Chike Umobi | Obstetrics & Gynecology | 1057 S Bradford St, Dover, DE 19904-4141 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699279554 | Justin Connor Md LLC | Orthopaedic Surgery | 1057 S Bradford St, Dover, DE 19904 | 2018-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003028424 | Joel Howard Schiffman | Orthopaedic Surgery | 906 Brandywine House Rd, Bethany Beach, DE 19930-8043 | 2007-05-06 |
| 1255597407 | Alfred Wahabi Atanda Jr. | Orthopaedic Surgery | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2008-08-06 |
| 1770782658 | Julieanne P. Sees | Orthopaedic Surgery | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2007-07-12 |
| 1285851253 | Mahaveer P Prabhakar | Orthopaedic Surgery | 400 Christiana Medical Ctr, Newark, DE 19702-1654 | 2007-04-19 |
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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.