DR. LAURIE LYNN CONNOLLY (NPI# 1407843220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407843220 |
Entity Type | Individual |
Full Name | DR. LAURIE LYNN CONNOLLY |
Other Name | DR. LAURIE LYNN CONNOLLY-CROSS |
Credential | M.D. |
Practice Address |
1002 Lincoln Way Jefferson IA 50129 |
Practice Telephone | 5153864192 |
Practice Fax Number | 5153863448 |
Mailing Telephone | 5153864192 |
Mailing Fax Number | 5153863448 |
Enumeration Date | 2005-10-06 |
Last Update Date | 2012-07-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 33622 | IA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 2197772 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104858372 | Laurie Connolly | Physical Medicine & Rehabilitation | 100 S I St, Ste 205, Aberdeen, WA 98520-6502 | 2006-07-07 |
Street Address |
1002 LINCOLN WAY |
City | JEFFERSON |
State | IA |
Zip Code | 50129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235127481 | Thomas W. Fagg | Family Medicine | 1002 Lincoln Way, Jefferson, IA 50129 | 2005-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932689494 | John Bryan Brunow | Durable Medical Equipment & Medical Supplies | 208 E Lincoln Way, Jefferson, IA 50129 | 2018-08-15 |
1083903140 | Private Victories Counseling Services, LLC | Marriage & Family Therapist | 115 East Lincolnway, Suite 340, Jefferson, IA 50129 | 2011-03-29 |
1093860108 | William Hoyt Monroe | Pharmacist | 400 North Elm Street, Jefferson, IA 50129 | 2007-01-25 |
1073672036 | Martin W Miller | Chiropractor | 206 N Grimmell Road, Jefferson, IA 50129 | 2006-12-06 |
1972548303 | Hy Vee Inc | Pharmacy | 106 W. Washington Street, Suite 1, Jefferson, IA 50129 | 2006-06-19 |
1720052996 | Michael Dean Smith | Audiologist-Hearing Aid Fitter | 100 S Wilson Ave, Jefferson, IA 50129 | 2006-02-15 |
1639173685 | Anglemyer Pharmacies LLC | Durable Medical Equipment & Medical Supplies | 400 N Elm St, Jefferson, IA 50129 | 2005-06-08 |
1174740385 | Holly M Van De Voort | Pediatrics | 1000 W Lincoln Way, Jefferson, IA 50129 | 2007-04-19 |
1295248375 | Leah Renwanz | Chiropractor | 1407 N Elm St, Jefferson, IA 50129-1012 | 2017-11-10 |
1447809587 | Taylor C Anglemyer | Pharmacist | 400 N Elm St, Jefferson, IA 50129-1420 | 2019-09-11 |
Find all providers in zip 50129 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740620368 | Jeffrey Allen Richards | Family Medicine | 106 W Washington St Ste 2, Jefferson, IA 50129-1920 | 2013-06-27 |
1285967133 | Stayton Family Practice Inc | Family Medicine | 294 2nd St N, Jefferson, OR 97352 | 2009-09-10 |
1003041864 | Deborah K. Franley | Family Medicine | 158 W. Jefferson St, Jefferson, OH 44047 | 2009-05-22 |
1740475490 | Carol Susan Ribner | Family Medicine | 1780 Presidential Highway, Jefferson, NH 03583-6217 | 2007-09-06 |
1730372236 | William Ross Grimsley | Family Medicine | 1689 Old Pendergrass Rd, Suite 340, Jefferson, GA 30549-2708 | 2007-08-20 |
1215061437 | Crystal Antrease Maxwell | Family Medicine | 409 East Church Street, Jefferson, SC 29718-8701 | 2007-03-16 |
1912065467 | Sandhills Medical Foundation, Inc. | Family Medicine | 409 E Church St, Jefferson, SC 29718-8701 | 2006-12-05 |
1790877835 | Jyotir Jani | Family Medicine | 528 Panther Dr, Jefferson, GA 30549-5400 | 2006-09-28 |
1508962911 | Bartley R Richards | Family Medicine | 1654 Washington St, Jefferson, GA 30549-2666 | 2006-09-15 |
1316054372 | Linda M Welniak | Family Medicine | 840 Racine Street, Jefferson, WI 53549-1053 | 2006-08-24 |
Find all providers in JEFFERSON |
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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.