DR. MARC DONALD CONNELL JR. MD
NPI 1104666411
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 27, 2024PECOS Enrolled
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141(215) 456-8520 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About MARC CONNELL

This page provides the complete NPI Profile along with additional information for Marc Connell, a primary care provider established in Philadelphia, Pennsylvania with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1104666411 assigned on May 2024. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1104666411 Verify this NPI
Provider Name
DR. MARC DONALD CONNELL JR. MD
Gender
Male
Entity Type
Individual
Location Address
5501 OLD YORK RD STE 1 PHILADELPHIA, PA 19141
Location Phone
(215) 456-8520
Mailing Address
5501 OLD YORK RD STE 1 PHILADELPHIA, PA 19141
Is Sole Proprietor?
No
Enumeration Date
05-27-2024
Last Update Date
05-27-2024
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A primary care provider (PCP) like Marc Connell sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Marc Connell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Surgery
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Surgery
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Orthopaedic Surgery
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Dentist
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Dentist (General Practice)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Obstetrics & Gynecology
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Physician Assistant
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Pediatrics
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Pediatrics
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104666411, enumerated as an "individual" on May 27, 2024.

The provider is located at 5501 OLD YORK RD STE 1 PHILADELPHIA, PA 19141 and the phone number is (215) 456-8520.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.