MATTHEW P CONNOR (NPI# 1427429943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427429943 |
| Entity Type | Individual |
| Full Name | MATTHEW P CONNOR |
| Credential | NP |
| Practice Address |
7956 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Practice Telephone | 2604362416 |
| Practice Fax Number | 2604366936 |
| Mailing Telephone | 2604362416 |
| Mailing Fax Number | 2604366936 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
71005855A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71005855A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71005855A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201329910 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831412295 | Matthew Pierce Connor | Otolaryngology | 1405 Centerville Rd Ste 5400, Tallahassee, FL 32308-4654 | 2010-03-12 |
| 1376102731 | Matthew Connor | Physical Therapist | 4446 Washington Rd Ste 8, Evans, GA 30809-6361 | 2019-06-10 |
| 1366939852 | Matthew Paul Connor | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2018-04-19 |
| 1306179163 | Matthew F Connor | Physical Therapist | 1900 Arena Dr, Hamilton, NJ 08610-2426 | 2009-09-11 |
| Street Address |
7956 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308413 | Isa S. Canavati | Neurological Surgery | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-06-30 |
| 1689283327 | Stephen Andrew Grote | Physician Assistant | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-29 |
| 1265041016 | Sara Mae Stout | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-28 |
| 1407481468 | Kathryn M. Mckible | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-03-10 |
| 1841824893 | Natasha L. Myers | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-02-28 |
| 1366901902 | Adrienne Michelle Evans | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-03-13 |
| 1952883084 | Kristin J. Abbs | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2018-09-05 |
| 1134655392 | Nirupama Esther Jerome | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2017-05-10 |
| 1609324342 | Melanie J. Heath | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2016-09-12 |
| 1164880605 | Jennifer Lynn Ritchie | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134694250 | Patricia Peterson | Nurse Practitioner | 7836 W Jefferson Blvd Ste 101, Fort Wayne, IN 46804-4178 | 2018-10-04 |
| 1184142903 | Jennifer K Smith | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2017-08-31 |
| 1699129148 | Kimberly Mcmurray | Nurse Practitioner | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-04-21 |
| 1396080024 | Rose Carolyn Wilcox | Nurse Practitioner | 14411 Smugglers Notch, Suite A, Fort Wayne, IN 46814-8701 | 2012-12-06 |
| 1487904140 | Shaun Marie Hart | Nurse Practitioner | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2012-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1811559321 | Natalie Dawn Coleman | Nurse Practitioner | 537 Marion St, Mitchell, IN 47446-1026 | 2019-07-03 |
| 1225592843 | Kaitlyn Tinius | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 171, Avon, IN 46123-6914 | 2019-01-28 |
| 1760953533 | Jeanetta Carol Conway | Nurse Practitioner | 8368 Helmsley Ct, Fishers, IN 46038-4430 | 2018-12-05 |
| 1366918104 | Irina Kochersperger | Nurse Practitioner | 4972 Lincoln Ave Ste 101, Evansville, IN 47715-7909 | 2018-10-19 |
| 1780160069 | Cara Crone | Nurse Practitioner | 8402 Harcourt Rd Ste 500, Indianapolis, IN 46260-2054 | 2018-07-19 |
| 1376051607 | Bethann Pradny | Nurse Practitioner | 5125 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-01-22 |
| 1710415559 | Joseph K Muriithi | Nurse Practitioner | 515 Park Place Cir Ste 200, Mishawaka, IN 46545-3585 | 2017-05-24 |
| 1689129645 | Casie Stevens | Nurse Practitioner | 1701 Senate Blvd Ste 238, Indianapolis, IN 46202-1239 | 2016-08-19 |
| 1700239175 | Melissa Lorenz | Nurse Practitioner | 301 Gordon Gutmann Blvd Ste 301, Jeffersonville, IN 47130-3767 | 2016-07-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on MATTHEW P CONNOR.
| 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.