DR. KEVIN CONNOLLY (NPI# 1841633948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841633948 |
| Entity Type | Individual |
| Full Name | DR. KEVIN CONNOLLY |
| Credential | M.D. |
| Practice Address |
1310 Las Tablas Rd Ste 103 Templeton CA 93465 |
| Mailing Address |
Po Box 2920 Atascadero CA 93423-2920 |
| Practice Telephone | 8054617080 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | BP10046400 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A134205 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1959 Ne Pacific St University of Washington, Seattle, WA 981951930 | 2065981454 | |
| 601 E 15th St, Ut Southwestern Austin Internal Medicine, Austin, TX 787011930 | 5123248355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457373391 | Kevin F Connolly | Psychiatry & Neurology | 404-b Black Hills Ln Sw, Olympia, WA 98502-8148 | 2006-07-23 |
| 1649233560 | Kevin Patrick Connolly | Family Medicine | Psc 76 Box 4861, Apo, AP 96319-0027 | 2006-04-11 |
| 1710502182 | Kevin Connolly | Student in an Organized Health Care Education/Training Program | 15 E Chestnut St, Augusta, ME 04330-5736 | 2020-06-11 |
| 1841848744 | Kevin James Connolly | Speech-Language Pathologist | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2019-09-04 |
| 1699260737 | Kevin Connolly | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2018-06-29 |
| 1104352764 | Kevin Connolly | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2017-05-02 |
| 1215314257 | Kevin Patrick Connolly | Pediatrics | 2823 Fresno St, Fresno, CA 93721-1324 | 2015-04-28 |
| 1124419643 | Kevin Connolly | Counselor | 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108-2915 | 2015-02-06 |
| 1821229360 | Kevin Mark Connolly | Psychologist | 1500 E Woodrow Wilson Ave, (116a2), Jackson, MS 39216-5116 | 2009-07-31 |
| 1073731808 | Kevin M. Connolly | Chiropractor | 900 Jorie Blvd, Suite 104, Oak Brook, IL 60523-2213 | 2007-04-24 |
| Street Address |
1310 LAS TABLAS RD STE 103 |
| City | TEMPLETON |
| State | CA |
| Zip Code | 93465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093077356 | Benjamin Teichman Addicott | Radiology | 1310 Las Tablas Rd Ste 103, Templeton, CA 93465-9746 | 2012-06-13 |
| 1144887530 | Teresa Ann Oneill | Nurse Practitioner | 1310 Las Tablas Rd Ste 103, Templeton, CA 93465-9746 | 2019-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346773306 | Edward Delos Trino | Nurse Practitioner | 350 Posada Ln # 102, Templeton, CA 93465 | 2017-04-06 |
| 1497102883 | Miriam Castillo | Counselor | 44 Brewer St, Templeton, CA 93465 | 2016-05-16 |
| 1013395821 | Marna Moore-barr | Registered Nurse | 90 Dandelion Ln, Templeton, CA 93465 | 2015-05-12 |
| 1396007308 | Melissa Lee Gaidis | Psychologist | 225 Posada Lane, Suite L, Templeton, CA 93465 | 2012-06-14 |
| 1033418736 | Central Coast Associated Physicians, Inc. | Internal Medicine | 1220 Las Tablas Rd, Suite 1418, Templeton, CA 93465 | 2011-03-21 |
| 1922306281 | Benjamin Ernest Bartel | Counselor | 1827 Orlen Lane, Templeton, CA 93465 | 2011-03-09 |
| 1003116674 | Tiffney Taylor | Internal Medicine | 265 Posada Ln Ste B, Templeton, CA 93465 | 2010-10-28 |
| 1124355342 | Mary Christine Schaff | Nurse Practitioner | 1111 Las Tablas Rd., Ste. M, Templeton, CA 93465 | 2009-11-09 |
| 1417196890 | Liberty Michael Romig | Marriage & Family Therapist | 318 Crocker Street, Templeton, CA 93465 | 2009-02-09 |
| 1427212273 | Linda Kay Shaleen | Social Worker | 212 Main Street Suite 201, Templeton, CA 93465 | 2008-07-10 |
| Find all providers in zip 93465 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093077356 | Benjamin Teichman Addicott | Radiology | 1310 Las Tablas Rd Ste 103, Templeton, CA 93465-9746 | 2012-06-13 |
| 1407090574 | Laura Elizabeth Traube | Radiology | 1310 Las Tablas Rd Ste 206, Templeton, CA 93465-9747 | 2009-04-20 |
| 1457427767 | Templeton Imaging Medical Corporation Inc | Radiology | 262 Posada Lane, C, Templeton, CA 93465 | 2006-11-28 |
| 1619922499 | Paulomi K Kanzaria | Radiology | 14 Rice Rd, Templeton, MA 01468-1332 | 2006-05-23 |
| 1396063079 | Central Coast Radiology Medical Group Inc | Radiology | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2010-05-05 |
| 1760690416 | Daniel Jonathan Kowal | Radiology | 14 Rice Rd, Templeton, MA 01468-1332 | 2007-05-18 |
| 1184842312 | Brian Midkiff | Radiology | 14 Rice Rd, Templeton, MA 01468-1332 | 2007-04-23 |
| 1669412888 | Michael F Meyerovitz | Radiology | 14 Rice Rd, Templeton, MA 01468-1332 | 2006-06-07 |
| 1841239548 | Peter S Chen | Radiology | 14 Rice Rd, Templeton, MA 01468-1332 | 2006-06-06 |
| 1528007770 | Preeti Gupta | Radiology | 14 Rice Rd, Templeton, MA 01468-1332 | 2006-06-05 |
| Find all providers in TEMPLETON | ||||
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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.