DR. MARK DAVID CONNELLY (NPI# 1679743538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679743538 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID CONNELLY |
| Credential | M.D. |
| Practice Address |
640 Jackson St Saint Paul MN 55101-2502 |
| Mailing Address |
5340 44th Ave S Minneapolis MN 55417-2202 |
| Practice Telephone | 6512543666 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 18853 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770670572 | Mark E Connelly | Pharmacist | 718 Smyth Rd., Va Medical Center, Manchester, NH 03104 | 2006-10-05 |
| 1235168683 | Mark John Connelly | Dentist | 911 E State St, Suite C, Saint Johns, MI 48879-1684 | 2006-06-30 |
| 1770876583 | Mark Stephen Connelly | Pediatrics | 111 Michigan Ave Nw, Suite M4800, Washington, DC 20010-2916 | 2011-05-26 |
| 1407874753 | Mark Andrew Connelly | Psychologist | 2401 Gillham Rd, 4th Floor, Developmental and Behavioral Sciences, Kansas City, MO 64108-4619 | 2006-07-17 |
| 1437154358 | Mark V Connelly | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-16 |
| Street Address |
640 JACKSON ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55101-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686378 | Margaret Radermacher Schnobrich | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2005-08-12 |
| 1013518174 | Katara Jo Henderson | Student in an Organized Health Care Education/Training Program | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-11-05 |
| 1013516087 | Marit Sonnesyn | Physician Assistant | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-10-21 |
| 1114526027 | Carolyn Besch | Occupational Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-21 |
| 1952908576 | Mckenna Rebecca Splett | Physical Therapist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-10-06 |
| 1164029997 | Alyssa Jean Cutcher | Physical Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-05 |
| 1851998884 | Danielle Chirhart | Occupational Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-02 |
| 1174130389 | Frederick Schaefer Jr. | Speech-Language Pathologist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-30 |
| 1538775853 | Rebeca Joy Houle | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-22 |
| 1134733702 | Nicholas Honda | Pharmacist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| 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 |
|---|---|---|---|---|
| 1255665873 | Andrew Peter Schippel | Emergency Medicine | 333 N. Smith Ave, Saint Paul, MN 55102-2344 | 2009-09-29 |
| 1235399908 | Justin Pattee | Emergency Medicine | 333 N Smith Ave, United Hospital Emergency Department, Saint Paul, MN 55102 | 2008-06-16 |
| 1821002197 | Verna C Arcedo | Emergency Medicine | 5001 Northwest Dr, Saint Paul, MN 55111-3033 | 2006-07-29 |
| 1144276783 | Allen Keith Wesley | Emergency Medicine | 799 Reaney Ave, Saint Paul, MN 55106-4412 | 2006-05-25 |
| 1437107422 | Daniel D Foley | Emergency Medicine | 1661 Saint Anthony Ave Fl 2, Saint Paul, MN 55104-7633 | 2006-05-04 |
| 1639133374 | Frank B Lee | Emergency Medicine | 10195 Bridgewater Cir, Saint Paul, MN 55129-8598 | 2006-04-12 |
| 1508841735 | William Harrison Eelkema | Emergency Medicine | 538 Dayton Ave, Saint Paul, MN 55102-1710 | 2005-12-09 |
| 1154961795 | Lindsey Johnson | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-01-12 |
| 1619524543 | Lukas Lundgren | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2019-08-26 |
| 1508359886 | Andrew Hasebroock | Emergency Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2018-06-11 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55101 |
Please comment or provide details below to improve the information on DR. MARK DAVID CONNELLY.
| 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.