DR. JERRY WENDELL MCCONNELL M.D.
NPI 1124174875
Internal Medicine in Largo, MD

Active since January 26, 2007
1221 MERCANTILE LANE, LARGO, MD 20774(301) 618-5578(301) 618-5673 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Wendell Mcconnell M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY WENDELL MCCONNELL M.D. (NPI 1124174875) is an individual internal medicine provider in Largo, Maryland, licensed in Maryland (D29654) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1124174875
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JERRY WENDELL MCCONNELLCredential: M.D.
Location Address1221 MERCANTILE LANELargo, MD 20774
Mailing Address2101 East Jefferson Street, Kaiser Permanente, Ppqa, 6 West, Attn: Theresa BrooksRockville, MD 20852 · (301) 816-6660 · Fax (301) 816-6308
Fax(301) 618-5673
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1124174875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MD · D29654 Licensed in DC · MD13716
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1221 MERCANTILE LANE, Largo, MD 20774

Other Identifiers 2

Medicare ID-Type Unspecified006027M92
Medicare UPINH28456

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1221 MERCANTILE LANE
LARGO, MD 20774
Otolaryngology
1221 MERCANTILE LANE
LARGO, MD 20774
Family Medicine (Adult Medicine)
1221 MERCANTILE LANE
LARGO, MD 20774
Obstetrics & Gynecology
1221 MERCANTILE LANE
LARGO, MD 20774
Nurse Practitioner
1221 MERCANTILE LANE
LARGO, MD 20774
Audiologist
1221 MERCANTILE LANE
LANDOVER, MD 20774
Internal Medicine (Gastroenterology)
1221 MERCANTILE LANE
UPPER MARLBORO, MD 20774
Internal Medicine
1221 MERCANTILE LANE
LARGO, MD 20774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Mcconnell's NPI number?

The NPI number for Jerry Mcconnell is 1124174875. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Jerry Mcconnell located?

Jerry Mcconnell practices at 1221 Mercantile Lane, Largo, MD 20774. The listed phone number is (301) 618-5578.

What is Jerry Mcconnell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jerry Mcconnell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.