1. Home
  2. Directory
  3. Missouri
  4. Columbia
  5. Surgery
  6. NPI Profile

MATTHEW J CONCANNON MD
NPI 1366496515
Surgery - Plastic and Reconstructive Surgery in Columbia, MO

Active since May 20, 2006
3115 FALLING LEAF CT, COLUMBIA, MO 65201(573) 449-5000(573) 449-5010 Get Directions Write a Review

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

About Matthew J Concannon Md NPPES

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

MATTHEW J CONCANNON MD (NPI 1366496515) is an individual plastic and reconstructive surgery provider in Columbia, Missouri, licensed in Missouri (MDR7H73) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1366496515
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMATTHEW J CONCANNONCredential: MD
Location Address3115 FALLING LEAF CTColumbia, MO 65201-3579
Mailing Address3115 Falling Leaf CtColumbia, MO 65201-3579 · (573) 449-5000 · Fax (573) 449-5010
Phone(573) 449-5000
Fax(573) 449-5010
Sole ProprietorYes
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366496515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MO · MDR7H73
Definition
A surgeon who specializes in plastic and reconstructive surgery.
3115 FALLING LEAF CT, Columbia, MO 65201
Open in Google Maps ↗

Other Identifiers 5

Other31925MO · Blue Choice
Other1304006MO · United Healcare
Other31925MO · Blue Shield
Other289606MO · Healthlink
Medicare UPINC52061

Other Providers at the Same Location NPPES 2

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

MATTHEW CONCANNON LLC
Surgery
3115 FALLING LEAF CT
COLUMBIA, MO 65201
Boone County (573) 449-5000
SPECIALTY SURGICAL SERVICES
Surgery
3115 FALLING LEAF CT
COLUMBIA, MO 65201
Boone County (573) 449-5000

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 Matthew Concannon's NPI number?

The NPI number for Matthew Concannon is 1366496515. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Matthew Concannon located?

Matthew Concannon practices at 3115 Falling Leaf Ct, Columbia, MO 65201. The listed phone number is (573) 449-5000.

What is Matthew Concannon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Matthew Concannon 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.