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PATRICK W CONNERLY MD
NPI 1174533160
Family Medicine in Fort Wayne, IN

Active since August 09, 2006
1515 HOBSON RD., FORT WAYNE, IN 46805(260) 469-6601(260) 969-3067 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patrick W Connerly Md NPPES

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

PATRICK W CONNERLY MD (NPI 1174533160) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01024447A) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1174533160
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePATRICK W CONNERLYCredential: MD
Location Address1515 HOBSON RD.Fort Wayne, IN 46805-1725
Mailing Address1234 E Dupont Rd, Suite 3Fort Wayne, IN 46825-1545 · (260) 373-9700 · Fax (260) 373-9740
Phone(260) 469-6601
Fax(260) 969-3067
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateApril 7, 2014
✔ NPI 1174533160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01024447A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1515 HOBSON RD., Fort Wayne, IN 46805
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Other Identifiers 8

Medicare PINM400023951IN
Medicare ID-Type Unspecified048580B3IN
Medicare PIN070860VVVVIN
Medicare PINM400036230IN
Medicare PINM400036233IN
Medicare UPINB29333IN
Medicare PIN080130671IN
Medicaid100081390BIN

Other Providers at the Same Location NPPES

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

DR. WILLIAM ALLEN KAMMEYER M.D.
Family Medicine
1515 HOBSON RD.
FORT WAYNE, IN 46805
Allen County (260) 469-6601

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 Patrick Connerly's NPI number?

The NPI number for Patrick Connerly is 1174533160. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Patrick Connerly located?

Patrick Connerly practices at 1515 Hobson Rd., Fort Wayne, IN 46805. The listed phone number is (260) 469-6601.

What is Patrick Connerly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Patrick Connerly was last updated on April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.