MEDICARE: MICHAEL J CONNOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	04-27001	KS
2	207RG0100X	Gastroenterology Physician	2003005215	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00045637	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114924578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J CONNOR MD

Provider Business Mailing Address
First Line	:	2330 E MEYER BLVD
Second Line	:	SUITE 301
City	:	KANSAS CITY
State	:	MO
Zip	:	64132-1132
Country	:	US
Telephone Number	:	913-234-7600
Fax Number	:	816-361-5775

Provider Business Practice Location Address
First Line	:	2330 E MEYER BLVD
Second Line	:	SUITE 301
City	:	KANSAS CITY
State	:	MO
Zip	:	64132-1132
Country	:	US
Telephone Number	:	913-234-7600
Fax Number	:	816-361-5775

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	05/16/2025

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Directions to “ MICHAEL J CONNOR MD” Practice Location

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