DR. WILLIAM JORDAN CONNER (NPI# 1750375028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750375028 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JORDAN CONNER |
| Credential | MD |
| Practice Address |
211 W Matthews St Suite 102 Matthews NC 28105-1309 |
| Practice Telephone | 7047084301 |
| Practice Fax Number | 7047084389 |
| Mailing Telephone | 7047084301 |
| Mailing Fax Number | 7047084389 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2014-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9701293 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891239R | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629481585 | William L. Conner Jr. | Naturopath | 17w703 Butterfield Rd, Ste F, Oakbrook Terrace, IL 60181-4280 | 2014-06-09 |
| 1396038485 | William Edward Conner | Counselor | 16141 E. Burnside Street, Allied East, Portland, OR 97233 | 2011-05-23 |
| 1669690509 | William R. Conner | Dentist | 11407 W. Bluemound Rd., Wauwatosa, WI 53226 | 2007-04-24 |
| 1285648642 | William A Conner | Physician Assistant | 126 Ski Bowl Rd, North Creek, NY 12853-2607 | 2006-07-28 |
| 1801887864 | William Chance Conner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1010 W 40th St, Austin, TX 78756-4010 | 2005-10-31 |
| 1265822126 | William Blake Conner | Physician Assistant | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2015-01-30 |
| 1679873897 | William Conner | Substance Abuse Rehabilitation Facility | 21260 N 1450 E, 21260 North 1450 East, Moroni, UT 84646-0383 | 2010-10-22 |
| 1609068246 | William Casey Conner | Pediatrics | 813 N Irwin Ave, Ocilla, GA 31774-3757 | 2007-08-17 |
| 1932302809 | William S Conner | Chiropractor | 2918 W 10th St, Ste 3, Greeley, CO 80634-5457 | 2007-06-07 |
| 1932300266 | William Chace Conner | Hospitalist | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2007-05-31 |
| Street Address |
211 W MATTHEWS ST SUITE 102 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134770100 | Amanda Lee Deel | Occupational Therapist | 211 W Matthews St, Matthews, NC 28105-1309 | 2019-09-21 |
| 1174019301 | Martha Buie Ensley | Speech-Language Pathologist | 211 W Matthews St, Matthews, NC 28105-1309 | 2018-07-11 |
| 1386142081 | Meggie Sullivan | Speech-Language Pathologist | 211 W Matthews St, Matthews, NC 28105-1309 | 2018-01-28 |
| 1073924668 | Christiana Cooper | Occupational Therapist | 211 W Matthews St, Suite 101, Matthews, NC 28105-1309 | 2014-05-16 |
| 1053656132 | Raleigh Durham Medical Group, Pa | Family Medicine | 211 W Matthews St, Ste 102, Matthews, NC 28105-1309 | 2012-11-30 |
| 1295011039 | Kristin Danielle Burgess | Occupational Therapist | 211 W Matthews St, Suite 101, Matthews, NC 28105-1309 | 2011-10-25 |
| 1265763304 | Deborah W Jonas | Physician Assistant | 211 W Matthews St, Suite 102, Matthews, NC 28105-1309 | 2010-01-28 |
| 1073847083 | Ashley Bizzell | Dietitian, Registered | 211 W Matthews St, Matthews, NC 28105-1309 | 2009-09-23 |
| 1992984066 | Conner Family Health Clinic, Pllc | Family Medicine | 211 W Matthews St, Suite 102, Matthews, NC 28105-1309 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| 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 |
|---|---|---|---|---|
| 1306479837 | Advanced Regenerative Care of Charlotte, Pllc | Family Medicine | 10734b Monroe Rd, Matthews, NC 28105-8397 | 2020-02-12 |
| 1114370988 | Gapover Md, Pllc | Family Medicine | 5023 Weddington Matthews Rd, Matthews, NC 28104-9413 | 2016-07-18 |
| 1164781845 | Novant Medical Group, Inc | Family Medicine | 7800 Stevens Mill Rd, Suite 0, Matthews, NC 28104-6111 | 2012-05-15 |
| 1346529500 | Carolina Medicorp Enterprises,inc | Family Medicine | 9600 E Independence Blvd Ste 170, Matthews, NC 28105-4628 | 2011-08-05 |
| 1518144526 | Carolinas Physicians Network Inc | Family Medicine | 2407 Plantation Center Drive, Suite 102, Matthews, NC 28105-6614 | 2008-01-22 |
| 1235251828 | Makeecha Reed-crawford | Family Medicine | 9600 E Independence Blvd, Matthews, NC 28105-4628 | 2007-04-04 |
| 1689726655 | Choice Care Family Medical Center PC | Family Medicine | 2435 Plantation Center Drive, Suite 110, Matthews, NC 28105-5148 | 2007-01-18 |
| 1396772752 | Lou Ann Mcadams | Family Medicine | 113 N Ames St, Matthews, NC 28105-5639 | 2006-06-28 |
| 1134175227 | Virginia Reed Killoren | Family Medicine | 1332 Sea Mist Dr, Matthews, NC 28105 | 2006-05-26 |
| 1003801655 | Mark O Speight | Family Medicine | 1258 Mann Dr, Suite 100, Matthews, NC 28105-5547 | 2005-09-20 |
| Find all providers in MATTHEWS | ||||
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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.