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

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: August 16, 2026.

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.

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.

REGENTS OF THE UNIVERSITY OF MICHIGAN
Eyewear Supplier
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-7380
KENDRA JEAN BAUER MD
Pediatrics
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 539-5080
MARK MULCAIRE-JONES MD
Internal Medicine
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-2020
MARGEAUX ANAHID NAUGHTON MD
Pediatrics
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-7370
REGENTS OF THE UNIVERSITY OF MICHIGAN
Hearing Aid Equipment
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-7380
SIVAN KASSIFF MD
Pediatrics
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 539-5080
OLESIA KELLEZI MD
Student in an Organized Health Care Education/Training Program
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-2020
FEYISETAN ADUNBI MSW
Social Worker (Clinical)
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-7380

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 Christopher Connolly's NPI number?

The NPI number for Christopher Connolly is 1760128177. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Where is Christopher Connolly located?

Christopher Connolly practices at 380 Parkland Plz, Ann Arbor, MI 48103. The listed phone number is (734) 539-5080.

What is Christopher Connolly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christopher Connolly enrolled in Medicare?

Yes. Christopher Connolly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christopher Connolly was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.