JOHN P. CONNOLLY (NPI# 1821000480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821000480 |
| Entity Type | Individual |
| Full Name | JOHN P. CONNOLLY |
| Credential | MD |
| Practice Address |
845 S Fairmont Ave Ste 8 Lodi CA 95240-5113 |
| Practice Telephone | 2093397410 |
| Mailing Telephone | 2093397410 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2015-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
G57508 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194863035 | John O Connolly | Physical Therapist | 1537 E Hill Rd, Suite 400, Grand Blanc, MI 48439-5127 | 2007-02-02 |
| 1760556385 | John M Connolly | Specialist | 907 Sumner St # M201, Stoughton, MA 02072-3374 | 2006-11-17 |
| 1316027386 | John Edward Connolly | Podiatrist | White River Junction Vamc, Desk 90 (112), White River Junction, VT 05009-0001 | 2006-10-16 |
| 1164434361 | John Arthur Connolly Jr. | Physical Therapy Assistant | 10535 Hospital Way # 117, Mather, CA 95655-4200 | 2006-08-13 |
| 1811985781 | John William Connolly | Family Medicine | 4012 20th Ave Sw # Thavesw, Seattle, WA 98106-1218 | 2005-10-13 |
| 1811242852 | John Connolly | Physical Therapist | 475 Main St, Armonk, NY 10504-1840 | 2012-07-16 |
| 1801914361 | John Connolly | Physical Therapist | 700 E Walnut St, Bloomington, IL 61701-3244 | 2007-03-26 |
| 1861525842 | John Patrick Connolly Jr. | Dentist | 19000 Cox Ave, Suite B, Saratoga, CA 95070-4155 | 2007-03-13 |
| 1396813820 | John L Connolly | Dentist | 1600 Washington Ave, Cloquet, MN 55720 | 2006-12-01 |
| 1255400156 | John Thomas Connolly Jr. | Anesthesiology | 3260 Hospital Dr, Juneau, AK 99801 | 2006-11-06 |
| Street Address |
845 S FAIRMONT AVE STE 8 |
| City | LODI |
| State | CA |
| Zip Code | 95240-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437177755 | Valerie J. Kidd | Family Medicine | 845 S Fairmont Ave Ste 8, Lodi, CA 95240-5113 | 2006-07-17 |
| 1629081377 | Lodi Memorial Hospital Association Inc | Clinic/Center | 845 S Fairmont Ave Ste 8, Lodi, CA 95240-5113 | 2006-08-14 |
| 1881603009 | Lodi Memorial Hospital Association Inc | Clinic/Center | 845 S Fairmont Ave Ste 8, Lodi, CA 95240-5113 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1710305339 | Scott G. Ferrara | Internal Medicine | 160 Essex St Ste 103, Lodi, NJ 07644-2709 | 2014-04-01 |
| 1861955460 | Adventist Health Physicians Network | Internal Medicine | 2407 W Vine St, Lodi, CA 95242-3730 | 2019-04-10 |
| 1518005321 | Lodi Sleep Disorders Management Group Lp | Internal Medicine | 1930 Tienda Dr, Suite 202, Lodi, CA 95242-3933 | 2007-02-02 |
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|---|---|---|---|---|
| 1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| 1033644075 | Jyoti S Datta Md Inc | Internal Medicine | 1045 Atlantic Ave Ste 616, Long Beach, CA 90813-3411 | 2017-04-27 |
| Find all providers with the same taxonomy | ||||
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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.