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ROBERT J MCCONNELL NPI 1750570164


NPI Information

NPI: 1750570164
Provider Name: ROBERT J MCCONNELL
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
107 KENBROOK DR
VANDALIA, OH
ZIP 45377
Phone: (937) 890-6252
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ROBERT J MCCONNELL is a geriatric medicine internal medicine in Vandalia, OH. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. ROBERT J MCCONNELL NPI is 1750570164. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 KENBROOK DR
VANDALIA, OH
ZIP 45377-427
Phone: (937) 890-6252
Fax: (937) 890-1725

The provider's authorized official is Robert J Mcconnell .
The authorized official title is Owner and has the following contact phone number (937) 890-6252.

The enumeration date for this NPI number is 10/22/2007 and was last updated on 11/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine1569OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10877761MEDICAIDOHIO
2DP5373OTHEROHIORAILROAD MEDICARE
39250961MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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