JEFFREY R. MCCONNELL (NPI# 1619969987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619969987 |
Entity Type | Individual |
Full Name | JEFFREY R. MCCONNELL |
Credential | MD |
Practice Address |
1250 S Cedar Crest Blvd Ste 110 Allentown PA 18103-6224 |
Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
Practice Telephone | 6104028900 |
Practice Fax Number | 6104025656 |
Mailing Telephone | 4848844500 |
Mailing Fax Number | 4848840699 |
Enumeration Date | 2005-08-22 |
Last Update Date | 2018-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | MD036203E | PA | Allopathic & Osteopathic Physicians |
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MD036203E | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | RAILROAD MEDICARE | 200046150 | 01 |
PA | BLUE CROSS | 50010433 | 01 |
PA | FIRST PRIORITY HEALTH | 821246 | 01 |
PA | 0019478600004 | 05 | |
PA | AETNA | 4357330 | 01 |
PA | AMERIHEALTH ADMIN | 478769 | 01 |
PA | OXFORD | P2949827 | 01 |
PA | BLUE SHIELD | 478769 | 01 |
PA | KEYSTONE CENTRAL | 478769 | 01 |
PA | GEISINGER | 78711 | 01 |
PA | CIGNA | 0962542 | 01 |
PA | KEYSTONE EAST | 0729687000 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174684302 | Jeffrey Robert Mcconnell | Social Worker | 314 W Superior St, Suite 600, Duluth, MN 55802-1805 | 2006-12-12 |
Street Address |
1250 S CEDAR CREST BLVD STE 110 |
City | ALLENTOWN |
State | PA |
Zip Code | 18103-6224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811548126 | Johanna Ziegler | Physician Assistant | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103-6224 | 2019-09-27 |
1962917120 | Robert James O'donnell Jr. | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103 | 2017-12-11 |
1134665649 | Stephen P. Palumbo | Physician Assistant | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103-6224 | 2017-01-09 |
1003261298 | Xander Arwand | Family Medicine | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103-6224 | 2016-04-26 |
1285038166 | Colleen Wagner Hammerstone | Physician Assistant | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103 | 2014-10-21 |
1437564556 | Robert Paul Wessel IIi | Orthopaedic Surgery | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103-6224 | 2014-06-26 |
1821409632 | Alan C Stuto | Orthopaedic Surgery | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103 | 2014-05-14 |
1518304211 | Chelsea Marshall Evans | Family Medicine | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103-6224 | 2013-06-04 |
1619242195 | Jonathon Mitchell Brown | Orthopaedic Surgery | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103 | 2012-03-15 |
1386977593 | Frank James Jackson Jr. | Specialist/Technologist | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103-6224 | 2009-09-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
Find all providers in zip 18103 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073012910 | Joint Replacement Cin of Philadelphia | Orthopaedic Surgery | 1700 Market St Ste 1005b206, Philadelphia, PA 19103-3913 | 2018-02-06 |
1508365446 | Spine Cin of Philadelphia LLC | Orthopaedic Surgery | 1700 Market St Ste 1005b216, Philadelphia, PA 19103-3913 | 2018-02-06 |
1548508435 | Parviz Kambin | Orthopaedic Surgery | 239 Chester Rd, Devon, PA 19333-1626 | 2013-01-28 |
1538171384 | Joel A Torretti | Orthopaedic Surgery | 476 Rolling Ridge Dr Ste 200, State College, PA 16801-7639 | 2006-08-12 |
1770529935 | Scott Allen Rushton | Orthopaedic Surgery | 100 E Lancaster Ave Ste 280, Wynnewood, PA 19096 | 2006-06-22 |
1366400798 | Steven John Valentino | Orthopaedic Surgery | 700 S Henderson Rd, Suite 110, King of Prussia, PA 19406-4206 | 2006-05-03 |
1588667679 | Tri Rivers Surgical Associates, Inc | Orthopaedic Surgery | 9104 Babcock Blvd, Ste 2120, Pittsburgh, PA 15237-5818 | 2005-05-23 |
1427511195 | Spa Care of Penn, LLC | Orthopaedic Surgery | 1700 Market St Ste 1005b216, Philadelphia, PA 19103-3913 | 2019-04-10 |
1356804025 | Spa Care of Penn II, LLC | Orthopaedic Surgery | 1700 Market St Ste 1005b216, Philadelphia, PA 19103-3913 | 2019-04-10 |
1225506439 | Heritage Valley Medical Group, Inc. | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2018-11-06 |
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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.