SEAN K CONROY (NPI# 1649583014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649583014 |
| Entity Type | Individual |
| Full Name | SEAN K CONROY |
| Credential | PA-C |
| Practice Address |
235 W Vine St Dighton KS 67839-5089 |
| Mailing Address |
Po Box 969 Dighton KS 67839-0969 |
| Practice Telephone | 6203975321 |
| Practice Fax Number | 6203972823 |
| Mailing Telephone | 6203975321 |
| Mailing Fax Number | 6203972823 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2020-09-18 |
| NPI Deactivation Date | 08/28/2020 |
| NPI Reactivation Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1592 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 15-01390 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | RR MEDICARE | P00862311 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902893027 | Sean Patrick Conroy | Family Medicine | 100 W Sproul Rd, Suite 120, Springfield, PA 19064-2033 | 2005-10-04 |
| 1184124836 | Sean James Conroy | Physical Therapist | 177 E 87th St, New York, NY 10128-2226 | 2018-02-20 |
| 1194180083 | Sean Elizabeth Conroy | Physician Assistant | 1101 Paoli Pike, West Chester, PA 19380-4642 | 2015-12-21 |
| 1144626011 | Sean Conroy | Community Health Worker | 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086-7624 | 2014-11-05 |
| 1134103534 | Sean M Conroy | Anesthesiology | 3601 W 13 Mile Rd, Anesthesiology Dept, Royal Oak, MI 48073-6712 | 2005-11-30 |
| Street Address |
235 W VINE ST |
| City | DIGHTON |
| State | KS |
| Zip Code | 67839-5089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750869467 | Tyler John Heiman | Pharmacist | 105 E Pearl Street, Dighton, KS 67839 | 2018-08-03 |
| 1912408717 | Alyssa Ann Farrell | Physician Assistant | 235 W Vine St., Dighton, KS 67839 | 2018-02-27 |
| 1568908788 | Disha Patel | Physician Assistant | 235 West Vine Street, Dighton, KS 67839 | 2017-01-11 |
| 1831529353 | Brunswig Pharmacy, Pa | Pharmacy | 105 E. Pearl, Dighton, KS 67839 | 2013-11-19 |
| 1184691289 | Harriet Vance | Physician Assistant | 200 N Main Street, Dighton, KS 67839 | 2006-03-07 |
| 1801138524 | County of Lane | Nursing Facility/Intermediate Care Facility | 235 W. Vine St., Dighton, KS 67839-0001 | 2013-03-20 |
| 1063491322 | Paul K Chinburg | General Practice | 444 West Long St., Dighton, KS 67839-0488 | 2006-01-13 |
| 1407811227 | County of Lane | Clinic/Center | 444 West Long St., Dighton, KS 67839-0488 | 2006-04-18 |
| 1598788960 | Dighton Drug Partnership | Pharmacy | 136 E Long St, Dighton, KS 67839-0548 | 2006-07-25 |
| 1316911993 | County of Lane | Ambulance | 444 West Long, Dighton, KS 67839-0606 | 2006-02-13 |
| Find all providers in zip 67839 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568908788 | Disha Patel | Physician Assistant | 235 West Vine Street, Dighton, KS 67839 | 2017-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567783 | Shelby Stewart | Physician Assistant | 1409 Washington Cir, Hays, KS 67601-4716 | 2020-10-27 |
| 1154935724 | Kendra Elizabeth Rogers | Physician Assistant | 8111 Quivira Rd Apt 12106, Lenexa, KS 66215-2772 | 2020-09-01 |
| 1962020024 | Cody Allen Miller | Physician Assistant | 7201 W 80th St Apt 602, Overland Park, KS 66204-3773 | 2020-07-06 |
| 1881210417 | Jordan Rachelle Haya | Physician Assistant | 607 Prairie Ave, Maple Hill, KS 66507-9808 | 2020-06-19 |
| 1881219483 | Sheila Mwadime | Physician Assistant | 10245 Millstone Dr Apt 7110, Lenexa, KS 66220-2711 | 2020-06-10 |
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1194348706 | Andrew John Lopata | Physician Assistant | 1315 N Walnut St, Mcpherson, KS 67460-2434 | 2020-05-19 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1033731674 | Sydnee Rose Eck | Physician Assistant | 345 Sevy, Andale, KS 67001-4003 | 2020-05-16 |
| 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.