| NPI | 1205828977 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-08-18 |
| Last Updated | 2025-03-17 |
| Mailing Address | 1016 24th Ave Nw Ste 110 Norman, OK 73069-6542 United States Phone: (405) 701-4079 | Fax: (405) 701-8988 📍 View Map |
| Primary Practice Address | 1016 24th Ave Nw Ste 110 Norman, OK 73069-6542 United States Phone: (405) 701-4079 | Fax: (405) 701-8988 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | OK | 080058651 | Railroad Medicare |
| MEDICAID | OK | 100113800A | - |
| Other (non-Medicare) | OK | 4206638 | Aetna EDI |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | OK | 16929 |
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About NPI 1205828977
Lisa B. Connery M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205828977. The primary specialty listed is Family Medicine. The provider is located in Norman, OK. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205828977?
NPI 1205828977 belongs to Lisa B. Connery M.D., a Family Medicine in Norman, OK. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205828977 active?
The current status of NPI 1205828977 in the NPPES registry is Active. The record was last updated on 2025-03-17.
What specialty is NPI 1205828977?
NPI 1205828977 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205828977?
You can verify NPI 1205828977 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205828977?
The primary practice address on file for NPI 1205828977 is 1016 24th Ave Nw Ste 110, Norman, OK 73069-6542. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205828977 issued?
NPI 1205828977 was first issued (enumerated) on 2005-08-18. The NPPES record was last updated on 2025-03-17.
Practice Location Map
Lisa B. Connery is located at 1016 24th Ave Nw Ste 110, Norman, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lisa B. Connery. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205828977. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 16929 | OK |