CHRISTOPHER DAVID CONNOLLY
NPI 1760128177
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 09, 2022PECOS Enrolled

380 PARKLAND PLZ, ANN ARBOR, MI 48103(734) 539-5080 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Christopher David Connolly NPPES

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

CHRISTOPHER DAVID CONNOLLY (NPI 1760128177) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351049159) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760128177

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCHRISTOPHER DAVID CONNOLLY

Location Address380 PARKLAND PLZAnn Arbor, MI 48103-6201

Mailing Address1540 E Hospital DrAnn Arbor, MI 48109-4000

Phone(734) 539-5080

Sole ProprietorNo

Enumeration DateMay 9, 2022

NPPES CertifiedMay 9, 2022

✔ NPI 1760128177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351049159

Definition

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.

380 PARKLAND PLZ, Ann Arbor, MI 48103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher David Connolly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.