DR. RICHARD A CONN (NPI# 1902835044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902835044 |
| Entity Type | Individual |
| Full Name | DR. RICHARD A CONN |
| Credential | M.D., |
| Practice Address |
3688 Veterans Memorial Dr Suite 200 Hattiesburg MS 39401-8246 |
| Practice Telephone | 6015547400 |
| Practice Fax Number | 6015547488 |
| Mailing Telephone | 6015547451 |
| Mailing Fax Number | 6015547488 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2009-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
08324 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0112876 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831260223 | Richard Conn | Surgery | Nsuh - Dept of Cardiovascular & Thoracic Surgery, 300 Community Drive, Manhasset, NY 11030 | 2006-11-10 |
| 1528061561 | Richard Lee Conn | Surgery | 391 Serpentine Dr, Ste 250, Spartanburg, SC 29303-3080 | 2005-05-23 |
| 1205859303 | Richard L Conn | Urology | 5400 Gibson Se, Albuquerque, NM 87108 | 2006-07-26 |
| 1457370280 | Richard A Conn | Family Medicine | 2616 Memorial Blvd Ste B, Connellsville, PA 15425-1418 | 2006-07-19 |
| Street Address |
3688 VETERANS MEMORIAL DR SUITE 200 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-8246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906157 | Southern Surgery Center, LLC | Clinic/Center | 3688 Veterans Memorial Dr, Suite 100, Hattiesburg, MS 39401-8246 | 2005-07-19 |
| 1548883200 | Emily Mcdermott | Physical Therapist | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2020-05-28 |
| 1851924013 | Melissa Ann Ezelle | Registered Nurse | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2020-02-17 |
| 1932607132 | Kerri Michelle Easterling | Occupational Therapist | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2018-01-23 |
| 1174980213 | Marshall Bynum | Physician Assistant | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2016-01-20 |
| 1487854295 | John J Davis | Specialist/Technologist | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2007-07-19 |
| 1356546295 | Southern Bone& Joint Specialists | Specialist | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2007-06-20 |
| 1295937928 | John Herrington Kosko | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2007-06-04 |
| 1952523607 | Frederick O'neal Gregg | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 | 2007-05-03 |
| 1912033291 | Sunbelt Rehabilitation Systems, LLC | Clinic/Center | 3688 Veterans Memorial Dr, Suite 300, Hattiesburg, MS 39401-8246 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| 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 |
|---|---|---|---|---|
| 1124587829 | Mo Services LLC | Orthopaedic Surgery | 15190 Community Rd., Suite 120, Gulfport, MS 39503-3484 | 2019-03-13 |
| 1720303639 | Thomas David Tarity | Orthopaedic Surgery | 301 Fisher St, Orthopedic Surgery Clinic, Keesler Afb, MS 39534-2508 | 2010-04-02 |
| 1750590196 | Benjamin Stronach | Orthopaedic Surgery | 2500 North State Street, Department of Orthopedics, Jackson, MS 35216-4500 | 2007-05-22 |
| 1003951724 | Trevor Reed Pickering | Orthopaedic Surgery | 1325 E Fortification St, Jackson, MS 39202-2442 | 2007-02-20 |
| 1295872174 | Ashish Anand | Orthopaedic Surgery | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2007-01-31 |
| 1679516017 | James L Hughes Jr. | Orthopaedic Surgery | 1410 E Woodrow Wilson Ave, Jackson, MS 39216-5114 | 2006-06-14 |
| 1861463788 | Robert Lance Johansen | Orthopaedic Surgery | 15190 Community Rd, Suite 120, Gulfport, MS 39503-3484 | 2006-01-30 |
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on DR. RICHARD A CONN.
| 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.