MAUREEN T CONNELLY DPM PA (NPI# 1972697035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972697035 |
| Entity Type | Organization |
| Organization Name | MAUREEN T CONNELLY DPM PA |
| Practice Address |
22 Se 6th St Boca Raton FL 33432-6016 |
| Practice Telephone | 5613913636 |
| Practice Fax Number | 5613953041 |
| Mailing Telephone | 5613913636 |
| Mailing Fax Number | 5613953041 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | DR. MAUREEN T CONNELLY (OWNER) |
| Authorized Official Telephone | 5613913636 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2508 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PTAN | K2436 | 01 |
| FL | NPI | 1972697035 | 01 |
| Street Address |
22 SE 6TH ST |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33432-6016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063925733 | Elizabeth Stewart Elam | Physician Assistant | 22 Se 6th St, Boca Raton, FL 33432-6016 | 2017-11-15 |
| 1255862991 | Naval Parikh, P.a. | Internal Medicine | 22 Se 6th St, Boca Raton, FL 33432 | 2017-03-24 |
| 1346416799 | Naval Girish Parikh | Internal Medicine | 22 Se 6th St, Boca Raton, FL 33432-6016 | 2008-05-06 |
| 1407040439 | James Michael Burke | Podiatrist | 22 Se 6th St, Boca Raton, FL 33432-6016 | 2007-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024067 | Barry Wolf | Counselor | Jackwolf LLC, 247 S. Ocean Blvd, Boca Raton, FL 33432 | 2020-05-12 |
| 1225659147 | Tyler Stephanie Diaz Redford | Physician Assistant | 106 Ne 2nd St., Boca Raton, FL 33432 | 2020-05-01 |
| 1235611393 | Gabrielle Bovarnick | Behavioral Analyst | 1730 S Federal Hwy #268, Delay Beach, FL 33432 | 2018-09-05 |
| 1285113878 | Innovative Supplies, LLC | Durable Medical Equipment & Medical Supplies | 399 Camino Gardens, Ste 303, Boca Raton, FL 33432 | 2018-08-14 |
| 1376029850 | Sunlight Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1700 N. Dixie Highway, Ste 127, Boca Raton, FL 33432 | 2018-07-17 |
| 1306332648 | Sunlight Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 Dixie Hwy, Suite 127, Boca Raton, FL 33432 | 2018-07-10 |
| 1669973707 | Amanda M. D'alem | Behavior Technician | Nw 13th St #300, Boca Raton, FL 33432 | 2018-02-23 |
| 1457863326 | Pipeline Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432 | 2017-10-31 |
| 1063930717 | Francisco Jose Osorio | Behavior Technician | 123 Nw 13 St, Boca Raton, FL 33432 | 2017-09-01 |
| 1023467263 | Sraz Consultancy LLC | Counselor | 370 Camino Gardens Blvd Suite 101, Boca Raton, FL 33432 | 2016-06-08 |
| Find all providers in zip 33432 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033572656 | Felipe Peterson | Podiatrist | 1601 Clint Moore Rd Ste 180, Boca Raton, FL 33487-5713 | 2016-03-31 |
| 1144601105 | Teresa M Contreras | Podiatrist | 7025 Beracasa Way Ste 102g, Boca Raton, FL 33433 | 2015-06-16 |
| 1427325349 | Douglas H Cohen Dpm Pa | Podiatrist | 2000 S Ocean Blvd, Suite 12g, Boca Raton, FL 33432-8535 | 2011-11-21 |
| 1538399852 | Lawrence J Newmann Dpm Podiatrist Inc | Podiatrist | 211 S Maya Palm Dr, Boca Raton, FL 33432-7926 | 2009-07-21 |
| 1851503684 | Richard Greenwald | Podiatrist | 799 Jeffery Street, Boca Raton, FL 33487-4139 | 2007-05-04 |
| 1801951918 | Glen Brian Schneider | Podiatrist | 9250 Glades Rd Ste 106, Boca Raton, FL 33434-3958 | 2006-12-27 |
| 1790868115 | Gary D Oringer | Podiatrist | 2416 Nw 63rd St, Boca Raton, FL 33496-3626 | 2006-10-21 |
| 1366549081 | Louis M Newman Dpm, Pa | Podiatrist | 23061 State Road 7, Boca Raton, FL 33428-5433 | 2006-09-17 |
| 1174633374 | Maureen T Connelly | Podiatrist | 22 Se 6th Street, Boca Raton, FL 33432 | 2006-08-30 |
| 1548373160 | Jennifer Ann Kazamias | Podiatrist | 950 Glades Rd Ste 2a, Boca Raton, FL 33431-6401 | 2006-08-17 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33432 |
Please comment or provide details below to improve the information on MAUREEN T CONNELLY DPM PA.
| 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.