Healthcare Provider Details

I. General information

NPI: 1891052676
Provider Name (Legal Business Name): CONOR FRANCIS HYNES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 W REDWOOD ST STE 300
BALTIMORE MD
21201-7003
US

IV. Provider business mailing address

550 PEACHTREE ST NE FL MOT6
ATLANTA GA
30308-2247
US

V. Phone/Fax

Practice location:
  • Phone: 667-214-1718
  • Fax: 410-328-5147
Mailing address:
  • Phone: 404-686-2513
  • Fax: 404-686-4959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMTL000227
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01080846A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberD92441
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number102111
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: