DR. SCOTT VINCENT CONNELLY MD NPI 1750555637

NPI Information

NPI: 1750555637
Provider Name: DR. SCOTT VINCENT CONNELLY, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
3000 NEW BERN AVE
PEDIATRIC EMERGENCY MEDICINE FELLOWSHIP PROGRAM
RALEIGH, NC
ZIP 27610
Phone: (919) 350-7828
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DR. Scott Vincent Connelly, MD is a pediatric emergency medicine pediatrics in Raleigh, NC. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Scott Vincent Connelly, MD NPI is 1750555637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 NEW BERN AVE
PEDIATRIC EMERGENCY MEDICINE FELLOWSHIP PROGRAM
RALEIGH, NC
ZIP 27610-231
Phone: (919) 350-7828

The NPI 1750555637 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 4/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		2010-00935	NORTH CAROLINA	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	2010-00935	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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