DR. ROBERT ROBERT CONNORS MD NPI 1679622765

NPI Information

  • NPI: 1679622765
  • Provider Name: DR. ROBERT ROBERT CONNORS, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 330 BARCLAY AVE NE
    SUITE 202
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 458-1722

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NPI Details

DR. Robert Robert Connors, MD is a pediatric surgery surgery in Grand Rapids, MI. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Robert Robert Connors, MD NPI is 1679622765. 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:

330 BARCLAY AVE NE
SUITE 202
GRAND RAPIDS, MI
ZIP 49503-556
Phone: (616) 458-1722
Fax: (616) 458-0061

The NPI 1679622765 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/8/2007.

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
12086S0120XSurgeryPediatric Surgery4301037605MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12973758MEDICAIDMICHIGAN

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: 11/21/2025

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