JEREMY D. MCCONNELL, MD, PA
NPI 1841644358
Family Medicine - Sleep Medicine in Bradenton, FL

NPI Status: Active since April 20, 2016

Contact Information

5717 21ST AVE W
BRADENTON, FL
ZIP 34209
Phone: (941) 792-8383
Fax: (941) 792-8484

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  • Organization
  • Family Medicine
  • Sleep Medicine

About JEREMY D. MCCONNELL, MD, PA

This page provides the complete NPI Profile along with additional information for Jeremy D. Mcconnell, Md, Pa, a provider established in Bradenton, Florida operating as a Family Medicine, focusing in sleep medicine . The healthcare provider is registered in the NPI registry with number 1841644358 assigned on April 2016. The practitioner's primary taxonomy code is 207QS1201X with license number ME83356 (FL). The provider is registered as an organization and their NPI record was last updated 4 years ago. Jeremy D. Mcconnell, Md, Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Jeremy David Mcconnell Md (President)

NPI
1841644358
Provider Name
JEREMY D. MCCONNELL, MD, PA
Entity Type
Organization
Location Address
5717 21ST AVE W BRADENTON, FL 34209
Location Phone
(941) 792-8383
Location Fax
(941) 792-8484
Mailing Address
5717 21ST AVE W BRADENTON, FL 34209
Mailing Phone
(941) 792-8383
Mailing Fax
(941) 792-8484
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2016
Last Update Date
11-19-2021
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Location Map

Secondary Locations

  • 1215 S East Ave Ste 301
    Sarasota, FL 34239
    (941) 827-0701

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Sleep Medicine

Taxonomy Code
207QS1201X
Type
Allopathic & Osteopathic Physicians
License No.
ME83356
License State
FL
Taxonomy Description
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

ME83356 (FL)
2207QB0002XAllopathic & Osteopathic Physicians

Family Medicine
Obesity Medicine

ME83356 (FL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JEREMY DAVID MCCONNELL MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(813) 404-0159

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
NZ725OTHER (01)FLFL HF MEDICARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1841644358
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28811248310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 1 + 2 + 4 + 8 + 3 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1841644358 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

REBECCA LYNN MARTIN ARNP

Nurse Practitioner

(Family)

5717 21ST AVE W
BRADENTON, FL
ZIP 34209

(941) 792-8383

CANDACE MCKNIGHT JOHNSON CRNP F MSN

Nurse Practitioner

(Family)

5717 21ST AVE W
BRADENTON, FL
ZIP 34209

(941) 792-8383

REGINA D PRUITT PA-C

Physician Assistant

(Medical)

5717 21ST AVE W
BRADENTON, FL
ZIP 34209

(941) 792-8383

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841644358, enumerated as an "organization" on April 20, 2016.

The provider is located at 5717 21ST AVE W BRADENTON, FL 34209 and the phone number is (941) 792-8383.

Family Medicine with taxonomy code 207QS1201X and a focus in Sleep Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.