Active NPIIndividual provider

Sean M Conger, PA-C

Physician Assistant in Worcester, Massachusetts

NPI Number1992367734
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
508-421-1490
Last updated
April 21, 2021

Sean Mitchell Conger is a Physician Assistant based in Worcester, MA. Sean Mitchell Conger practices in Worcester, MA and has the professional credentials of PA-C. The NPI Number for Sean Mitchell Conger is 1992367734 and holds a License No. PA01161 (RI). The current practice location address for Sean Mitchell Conger is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-421-1400 and via fax at 508-421-1490.

Provider Profile Details

NPI Number
1992367734
Provider Name
Sean Mitchell Conger
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-421-1400
Fax Number
508-421-1490
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 2, 2019
Last Update Date
April 21, 2021
Certification Date
April 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-421-1400
Fax Number
508-421-1490
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348

License Information

License Number (1)
PA01161
License State (1)
RI
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA7841
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sean M Conger, PA-C?

The NPI number of Sean M Conger, PA-C is 1992367734. It was assigned on July 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Sean M Conger, PA-C?

Sean M Conger, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01161.

Where does Sean M Conger, PA-C practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-421-1400 (phone) or 508-421-1490 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992367734 directly on the NPPES registry website.

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