TIMOTHY JOHN CONNELLY (NPI# 1750492559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750492559 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOHN CONNELLY |
| Practice Address |
5125 Skyline Rd S Salem OR 97306-9427 |
| Mailing Address |
5125 Skyline Road S Salem OR 97306-9427 |
| Practice Telephone | 5035664520 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | OR MD22748 | OR | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
OR MD22748 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720570385 | Timothy Jacob Connelly | Behavior Technician | 1725 Presidio Way, Plumas Lake, CA 95961-9071 | 2018-05-30 |
| 1467616748 | Timothy Patrick Connelly Jr. | Internal Medicine | 1101 Lexington Ave, Savannah, GA 31404 | 2008-07-15 |
| 1992963722 | Timothy Richard Connelly | Physical Therapist | 650 Joel Drive, Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5349 | 2008-05-29 |
| 1407986631 | Timothy Gerard Connelly | Anesthesiology | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2007-03-06 |
| 1801821509 | Timothy L Connelly | Surgery | 602 W University Ave, Urbana, IL 61801-2530 | 2006-07-11 |
| Street Address |
5125 SKYLINE RD S |
| City | SALEM |
| State | OR |
| Zip Code | 97306-9427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407826563 | Christian A Speer | Internal Medicine | 5125 Skyline Rd S, Gastroenterology, Salem, OR 97306-9427 | 2006-01-23 |
| 1881249597 | Anastasiya Makarenko | Student in an Organized Health Care Education/Training Program | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2019-08-08 |
| 1174075154 | Kaiser Foundation Health Plan of The Northwest | General Practice | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-26 |
| 1457803587 | Lilian May | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-24 |
| 1700336138 | Darryl Johnson | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-10 |
| 1740739937 | Marilee Neuschwander | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-09-28 |
| 1548716921 | Barbara Ann Schnabel | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-08-26 |
| 1720457922 | Bryan Hurliman | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-09-17 |
| 1629453527 | Mary Katherine Burch | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-07-21 |
| 1366836041 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
| 1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| Find all providers in zip 97306 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437323292 | Marissa Lopez Bisbe | Anesthesiology | 27 Wisteria St, Unit 4, Salem, MA 01970-4541 | 2008-04-14 |
| 1053320572 | Melvin D Wade | Anesthesiology | 2525 12th St Se Ste 110, Salem, OR 97302-2153 | 2006-08-05 |
| 1255348041 | Linda K Stevenson | Anesthesiology | 1925 Hillwood Ct S, Salem, OR 97302-3668 | 2006-08-02 |
| 1235152653 | William J Monson | Anesthesiology | 3973 Croisan Mountain Dr S, Salem, OR 97302-3645 | 2006-07-26 |
| 1255350831 | Marc A Swanson | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2006-07-18 |
| 1629014824 | Craig Douglas Anderson | Anesthesiology | 350 Miller St Se # 100, Salem, OR 97302 | 2006-06-22 |
| 1073558789 | Craig D Anderson Md PC | Anesthesiology | 4999 Skyline Rd S, Suite 100, Salem, OR 97306-2009 | 2006-06-17 |
| 1124062419 | Washington County Memorial Hospital | Anesthesiology | 911 N. Shelby St., Salem, IN 47167-2304 | 2006-06-16 |
| 1669432597 | Julie Selbst | Anesthesiology | Nsmc Salem Hospital - Department of Anesthesiology, 81 Highland Avenue, Salem, MA 01970-2714 | 2006-03-24 |
| 1669450102 | Paul Allen Pudimat | Anesthesiology | 61 Emerald Glen Rd, Salem, CT 06420-4123 | 2006-01-05 |
| Find all providers in SALEM | ||||
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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.