MARC CONNERY MD NPI 1689674608

NPI Information

  • NPI: 1689674608
  • Provider Name: MARC CONNERY, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 170 BRACKEN PKWY
    HOBART, IN
    ZIP 46342
  • Phone: (219) 942-7156

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NPI Details

Marc Connery, MD is a pediatrics in Hobart, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Marc Connery, MD NPI is 1689674608. 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:

170 BRACKEN PKWY
HOBART, IN
ZIP 46342-789
Phone: (219) 942-7156

The enumeration date for this NPI number is 8/1/2005 and was last updated on 9/9/2011.

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
1208000000XPediatrics01049420AINDIANAYes

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
1200330540MEDICAIDINDIANA
2H15687MEDICARE UPIN
3629990XMEDICARE ID-TYPE UNSPECIFIEDINDIANA
4000000354497OTHERINDIANAANTHEM

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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