Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN CONCANNON, DO
DeactivatedDR. JOHN CONCANNON, DO is a Pediatrics healthcare provider located in CRANSTON, Rhode Island. NPI 1962409128 is deactivated in the NPPES registry. Verify at CMS.
Pediatrics · CRANSTON, RI
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1962409128
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2005 (0.71506849315068 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 20, 2006
- License
-
DO-00357 (RI)
Practice Information
- Address
-
1145 RESERVOIR AVESUITE 124CRANSTON, RI, 029206055Browse RI providers · Browse ZIP 02920
- Phone
- 4019437337
- Fax
- 4019421509
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in CRANSTON, RI
| Name | Credential | NPI |
|---|---|---|
| DR. RICK MANUEL QUILES | M.D. | 1518956184 |
| MARVIN S WASSER | M.D. | 1629055827 |
| RICHARD K OHNMACHT | MD | 1508828401 |
| DR. COLLEEN CONCANNON VITALE | M.D. | 1396782223 |
| CHARLES DEANGELIS | MD | 1902822414 |
| DR. CARINE M LECONTE | M.D. | 1275692493 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.