Dr Chad Edward Connor, MD | |
4881 Sugar Maple Dr, Pediatric Cardiology, Wright Patterson Afb, OH 45433-5546 | |
(937) 522-4721 | |
(937) 656-3468 |
Full Name | Dr Chad Edward Connor |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083739700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 35092796 (Ohio) | Primary |
Entity Name | Children's Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad Edward Connor, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-1617 | Dr Chad Edward Connor, MD 4881 Sugar Maple Dr, Pediatric Cardiology, Wright Patterson Afb, OH 45433-5546 Ph: (937) 522-4721 |
Dr. Paolo G Roncallo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Medical Center, Wright Patterson Afb, OH 45433 Phone: 937-522-2917 | |
Dr. Jacqueline Kate Wade, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 375-224-7239 | |
Dr. Kara Jean Knickerbocker, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-6991 | |
Thomas Mark Bertagnoli, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-9612 | |
Dr. Brantly Baynes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, 88 Mdg/sgh2, Wright Patterson Afb, OH 45433 Phone: 937-257-9123 | |
Jason T Forbush, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr Bldg 83088, Wright Patterson Afb, OH 45433 Phone: 937-257-0837 |