JARED CONNOLLY (NPI# 1790130474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790130474 |
| Entity Type | Individual |
| Full Name | JARED CONNOLLY |
| Practice Address |
9000 W Sura Ln Greenfield WI 53228 |
| Mailing Address |
9000 W Sura Ln Greenfield WI 53228-3477 |
| Practice Telephone | 4142466800 |
| Practice Fax Number | 4142466405 |
| Mailing Telephone | 4142466800 |
| Mailing Fax Number | 4142466405 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2019-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 71078 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Thatcher Ave, River Forest, IL 603051625 | 7082034995 |
| Street Address |
9000 W SURA LN |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598703472 | Anne Therese Lehman | Physical Therapist | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2006-06-03 |
| 1720605744 | Collin D Christensen | Physical Therapist | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-06-26 |
| 1467078196 | Lynn J Estacio | Registered Nurse | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-06-18 |
| 1205465184 | Brenda Smoody | Physical Therapy Assistant | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-04-03 |
| 1508493198 | Zachary M Smith | Physical Therapist | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-03-24 |
| 1043840994 | Samantha Hilt | Pharmacist | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-01-20 |
| 1619521317 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2019-07-31 |
| 1124689666 | Jenna M Mineau | Physician Assistant | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2019-06-25 |
| 1780249920 | Lindsay M Eaton | Physical Therapist | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2019-05-02 |
| 1659839686 | Aurora Surgery Centers, LLC | Clinic/Center | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2019-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543255 | Sonhui Edwards | Technician | 9730 W Coldspring Rd, Greenfield, WI 53228 | 2020-03-19 |
| 1710116561 | Kate Elizabeth Stolowski | Registered Nurse | 4616 S. 109th St, Greenfield, WI 53228 | 2009-07-14 |
| 1548486467 | Cynthia Denise Ireland | Physical Therapy Assistant | 3939 S 92 St, Greenfield, WI 53228 | 2007-04-18 |
| 1598800740 | Shorehaven Behavioral Health Inc | Counselor | 8405 W Forest Home Av, Suite 104, Milwaukee, WI 53228 | 2007-02-21 |
| 1194884114 | Thomas Stanley Omalley | Dentist | 8555 W Forest Home Ave, Greenfield, WI 53228 | 2006-12-06 |
| 1750468732 | Omalley Dentistry Sc | Dentist | 8555 W Forest Hm Ave, Suite 101, Greenfield, WI 53228 | 2006-11-01 |
| 1114002359 | Eileen Mary Langyel | Dentist | 3783 So 108th St, Greenfield, WI 53228 | 2006-10-26 |
| 1801998778 | William Carini Dds Sc | Dentist | 10707 W Beloit Road, Advanced Dental Treatment Center, Greenfield, WI 53228 | 2006-09-02 |
| 1497857304 | William J Carini | Dentist | 10707 W Beloit Rd, Advanced Dental Treatment Center, Green Field, WI 53228 | 2006-09-01 |
| 1609814367 | Cedar Creek Family Counseling, Inc | Counselor | 9910 W. Layton Ave, Suite 2, Greenfield, WI 53228 | 2006-06-03 |
| Find all providers in zip 53228 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114020633 | S T Sy Md Sc | Pediatrics | 4666 S 35th St, Greenfield, WI 53221 | 2006-09-07 |
| 1265450936 | Jan Mcgonagle | Pediatrics | One Verney Drive, Cmrc, Greenfield, NH 03431-1719 | 2006-07-18 |
| 1477570406 | Santiago T Sy | Pediatrics | 4666 South 35th Street, Greenfield, WI 53221 | 2006-07-16 |
| 1013906841 | Daniel W Zinn | Pediatrics | 489 Bernardston Rd, Suite 108, Greenfield, MA 01301-1238 | 2005-10-14 |
| 1407858079 | Lorraine Wean | Pediatrics | 300 E Boyd Ave Ste 250, Greenfield, IN 46140-2845 | 2005-08-12 |
| 1194179093 | Kevin Glatt | Pediatrics | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2016-04-17 |
| 1942612734 | Alison Little | Pediatrics | 164 High Street, Greenfield, MA 01301-2613 | 2014-05-28 |
| 1013354372 | Olusoji Derek Olakanpo | Pediatrics | 489 Bernardston Rd, Suite 108, Greenfield, MA 01301-1238 | 2013-05-28 |
| 1598100828 | Christa M Morris | Pediatrics | 48 Sanderson St, Greenfield, MA 01301-2778 | 2013-04-30 |
| 1982946638 | Elizabeth V Kurowski | Pediatrics | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2013-03-20 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53228 |
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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.