MARY A CONNELLY MD
NPI 1841274636
Family Medicine in Green Bay, WI

Q: What is Mary Connelly's NPI number?

The NPI number for Mary Connelly is 1841274636. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Q: What is Mary Connelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Connelly was last updated on February 27, 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.

Active since December 05, 2005

1580 COMMANCHE AVE, GREEN BAY, WI 54313(920) 445-7295 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mary A Connelly Md NPPES

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

MARY A CONNELLY MD (NPI 1841274636) is an individual family medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (33056) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1841274636

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARY A CONNELLYCredential: MD

Location Address1580 COMMANCHE AVEGreen Bay, WI 54313-5751

Mailing Address1580 Commanche AveGreen Bay, WI 54313-5751 · (920) 445-7295

Phone(920) 445-7295

Sole ProprietorNo

Enumeration DateDecember 5, 2005

Last NPPES UpdateFebruary 27, 2014

✔ NPI 1841274636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 33056

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.

1580 COMMANCHE AVE, Green Bay, WI 54313

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Other Identifiers 3

Other33056WI · License

Medicare OSCAR/certification020100215WI

Medicare UPINE86894WI

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.

DR. KEVIN L MORTARA MD

Internal Medicine (Hematology & Oncology)