DR. MARK OWEN CONNELL (NPI# 1770682643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770682643 |
| Entity Type | Individual |
| Full Name | DR. MARK OWEN CONNELL |
| Credential | M.D. |
| Practice Address |
1 Guthrie Sq Sayre PA 18840-1625 |
| Practice Telephone | 5702974104 |
| Practice Fax Number | 5702972066 |
| Mailing Telephone | 5708885858 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD036027E | PA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0101253604 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010468730001 | 05 | |
| VA | 1770682643 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508309477 | Mark Connell | Physical Therapist | 45280 Seeley Dr, La Quinta, CA 92253-6834 | 2016-11-28 |
| 1750445755 | Mark B Connell | Clinic/Center | 425 Broadway, Paducah, KY 42001 | 2006-12-21 |
| 1730146069 | Mark R Connell | Radiology | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2006-04-28 |
| Street Address |
1 GUTHRIE SQ |
| City | SAYRE |
| State | PA |
| Zip Code | 18840-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294808 | Patricia Ann Fogelman | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840 | 2005-06-08 |
| 1639778194 | Heather Lynn Walker | Registered Nurse | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-10-25 |
| 1033724380 | Stacy Ann Miller | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-09-14 |
| 1033727466 | Abigail Rose Link | Physician Assistant | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-07-22 |
| 1811505035 | Rebecca Ann Satterly | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-07-14 |
| 1417574088 | Patricia Anne Hui | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-30 |
| 1477177277 | Sneha Prabhashankar Singh | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-08 |
| 1346864113 | Shista Priyadarshini | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-08 |
| 1225652175 | Balkishan Jagadishbhai Malviya | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-05 |
| 1003430034 | Premjeet Singh Dhillon | Internal Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434497 | Priyanka Bhardwaj | Student in an Organized Health Care Education/Training Program | One Guthrie Square - Family Medicine Residency - Robert, Sayre, PA 18840 | 2020-07-22 |
| 1669099362 | Tanya Gupta | Student in an Organized Health Care Education/Training Program | 1 Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2020-06-29 |
| 1477170330 | Unknown Manas | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Internal Medicine Residency, Guthri, Sayre, PA 18840 | 2020-06-26 |
| 1891311601 | Oneeb Sanaullah | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Sayre, Guthrie/robert Packer Hospit, Sayre, PA 18840 | 2020-06-18 |
| 1801455142 | Rachel Anne Hart | Student in an Organized Health Care Education/Training Program | General Surgery Residency Guthrie/robert Packer Hospita, Sayre, PA 18840 | 2019-06-11 |
| 1073178315 | Anam Aqeel | Student in an Organized Health Care Education/Training Program | One Guthrie Square Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-05-02 |
| 1548823156 | Seokjae John Bahng | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-04-18 |
| 1811550890 | Najma Nawaz | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Guthrie/robert Packer Hospi, Sayre, PA 18840 | 2019-04-16 |
| 1043701592 | Aisha Khaliq | Internal Medicine | One Guthrie Square Internal Medicine Residency/robert P, Sayre, PA 18840 | 2018-05-21 |
| 1194220822 | Tianyu Shang | Student in an Organized Health Care Education/Training Program | Guthrie/ Robert Packer Hospital, One Guthrie Square, Sayre, PA 18840 | 2018-03-26 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396919932 | Kuldeep Kumar Bassi | Surgery | 301 S Wilbur Ave Apt A, Sayre, PA 18840-1607 | 2008-04-15 |
| 1225566086 | Adeolu Adebayo Adeboye | Surgery | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2017-05-24 |
| 1265876932 | Alex Carl Overmiller | Surgery | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2013-04-24 |
| 1487902862 | Sacha Williams | Surgery | 1 Guthrie Sq, Robert Packer Hospital, Sayre, PA 18840-1625 | 2012-08-16 |
| 1528352754 | Andrew C Trecartin | Surgery | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2011-06-06 |
| 1114219185 | Alice Shih Yuan Shen | Surgery | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2011-05-10 |
| 1477870368 | Didier Olivier Alipui | Surgery | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2010-04-30 |
| 1497083968 | Mustafa Wahabrebbi Aman | Surgery | 317 W Lockhart St, Sayre, PA 18840-1618 | 2009-11-22 |
| 1922332196 | Heather Sue Norman | Surgery | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2009-09-22 |
| 1225262900 | Daniel Bryan Golden | Surgery | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2009-05-08 |
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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.