Active NPI 1750369419 Individual Practitioner Male Practitioner

Dr. Edward A Connolly , MD

Orthopaedic Surgery • Moline, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Connolly, MD is a certified Orthopaedic Surgery practicing in Moline, IL. With approximately 36 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 1990, Dr. Connolly delivers high-quality medical care to the local community at 520 VALLEY VIEW DR.

Dr. Connolly is affiliated with Ora Orthopedics Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, gadoterate meglumine, 0.1 ml, injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 Valley View Dr

Moline, IL 612656194

Telephone 3097623621

Fax 3097623690

Associated Practice Facility / Clinic

🏢 Ora Orthopedics Pc Facility NPI 1962481861

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Moline, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +11.4 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

12 Specialists

Practicing in Moline, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Connolly (36 Years) 36 Yrs

Moline Specialty Average (24.6 Years) 24.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	1,890	29	$0.74	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,572	190	$6.00	$0.98
20610 Aspiration and/or injection of fluid from large joint	326	195	$487.09	$68.67
99213 Established patient office or other outpatient visit, typically 15 minutes	270	208	$268.00	$86.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	202	$379.00	$120.53
73564 X-ray of knee, 4 or more views	178	137	$150.00	$43.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	146	132	$168.00	$53.67
73502 X-ray of hip, 2-3 views	101	96	$141.00	$43.56
27447 Replacement of knee joint, both sides of knee	86	81	$6409.00	$1224.31
73562 X-ray of knee, 3 views	59	52	$129.00	$37.52
72100 X-ray of lower and sacral spine, 2-3 views	52	52	$123.00	$36.73
73030 X-ray of shoulder, minimum of 2 views	51	42	$121.00	$32.12
27130 Replacement of thigh bone and hip joint with prosthesis	44	42	$6881.00	$1257.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$544.00	$158.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$357.00	$106.90
73721 Mri scan of leg joint without contrast	34	34	$1028.00	$129.87
72148 MRI scan of lower spinal canal	33	33	$1097.00	$114.10
73130 X-ray of hand, minimum of 3 views	26	21	$111.00	$34.21
73522 X-ray of both hips, 3-4 views	20	20	$162.00	$49.57
73222 Mri scan of arm joint with contrast	18	18	$1504.00	$220.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,880	37	$25.00	$9.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,408	296	$6.00	$1.07
A9575 Injection, gadoterate meglumine, 0.1 ml	870	11	$0.75	$0.14
20610 Aspiration and/or injection of fluid from large joint	546	316	$497.10	$69.50
99213 Established patient office or other outpatient visit, typically 15 minutes	335	270	$266.14	$86.67
73564 X-ray of knee, 4 or more views	252	197	$149.67	$43.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	176	$166.65	$54.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	149	$377.30	$122.51
73562 X-ray of knee, 3 views	153	126	$127.95	$37.73
73502 X-ray of hip, 2-3 views	138	111	$139.12	$43.58
73030 X-ray of shoulder, minimum of 2 views	98	81	$120.76	$32.50
27447 Replacement of knee joint, both sides of knee	84	82	$6398.11	$1250.52
72100 X-ray of lower and sacral spine, 2-3 views	70	69	$122.57	$37.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$543.57	$161.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$355.91	$108.30
27130 Replacement of thigh bone and hip joint with prosthesis	45	40	$6910.98	$1242.36
73130 X-ray of hand, minimum of 3 views	32	23	$110.69	$34.54
72148 MRI scan of lower spinal canal	32	32	$1116.75	$116.44
73110 X-ray of wrist, minimum of 3 views	23	13	$128.74	$38.17
73610 X-ray of ankle, minimum of 3 views	18	15	$114.00	$34.55
73721 Mri scan of leg joint without contrast	17	17	$1028.00	$133.97
73522 X-ray of both hips, 3-4 views	15	15	$162.00	$50.14
72170 X-ray of pelvis, 1-2 views	11	11	$97.36	$24.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$234.00	$77.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,768	30	$24.00	$10.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,660	220	$6.00	$1.14
20610 Aspiration and/or injection of fluid from large joint	530	297	$496.60	$71.80
99213 Established patient office or other outpatient visit, typically 15 minutes	489	348	$229.00	$87.72
73564 X-ray of knee, 4 or more views	232	179	$143.00	$43.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	204	$336.00	$123.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	173	155	$138.00	$54.65
J1040 Injection, methylprednisolone acetate, 80 mg	171	107	$20.00	$11.25
73562 X-ray of knee, 3 views	163	130	$122.47	$38.70
73502 X-ray of hip, 2-3 views	160	139	$115.47	$44.19
73030 X-ray of shoulder, minimum of 2 views	110	82	$107.62	$32.49
72100 X-ray of lower and sacral spine, 2-3 views	97	90	$117.00	$38.03
27447 Replacement of knee joint, both sides of knee	78	70	$6104.00	$1251.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$518.00	$163.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$340.00	$107.34
27130 Replacement of thigh bone and hip joint with prosthesis	33	33	$6510.00	$1261.73
J1030 Injection, methylprednisolone acetate, 40 mg	28	11	$10.00	$6.07
73610 X-ray of ankle, minimum of 3 views	22	13	$105.55	$33.84
73130 X-ray of hand, minimum of 3 views	21	17	$106.00	$34.91
72148 MRI scan of lower spinal canal	20	20	$1130.00	$121.68
73522 X-ray of both hips, 3-4 views	19	19	$137.00	$51.07
72170 X-ray of pelvis, 1-2 views	17	16	$94.00	$26.55
73721 Mri scan of leg joint without contrast	16	16	$969.00	$137.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	14	$220.00	$69.63
73630 X-ray of foot, minimum of 3 views	14	12	$103.00	$32.91
72040 X-ray of upper spine, 2-3 views	13	13	$116.00	$37.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,584	21	$24.00	$10.92
A9575 Injection, gadoterate meglumine, 0.1 ml	1,150	11	$0.27	$0.16
20610 Aspiration and/or injection of fluid from large joint	536	289	$458.40	$71.20
J1040 Injection, methylprednisolone acetate, 80 mg	500	231	$20.00	$10.61
99213 Established patient office or other outpatient visit, typically 15 minutes	357	258	$229.00	$88.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	269	$336.00	$125.73
73564 X-ray of knee, 4 or more views	273	203	$143.00	$43.41
73502 X-ray of hip, 2-3 views	196	151	$115.14	$43.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	178	143	$138.00	$54.49
73562 X-ray of knee, 3 views	175	143	$120.54	$37.46
J1030 Injection, methylprednisolone acetate, 40 mg	149	52	$10.00	$5.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$518.00	$162.65
27447 Replacement of knee joint, both sides of knee	99	93	$6104.00	$1288.49
73030 X-ray of shoulder, minimum of 2 views	98	79	$108.66	$32.47
72100 X-ray of lower and sacral spine, 2-3 views	83	78	$116.57	$37.65
27130 Replacement of thigh bone and hip joint with prosthesis	54	51	$6510.00	$1285.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$340.00	$110.07
73130 X-ray of hand, minimum of 3 views	29	20	$106.00	$34.44
73610 X-ray of ankle, minimum of 3 views	22	11	$105.55	$33.57
73721 Mri scan of leg joint without contrast	22	21	$987.91	$145.19
73552 X-ray of thigh bone, minimum 2 views	21	13	$78.81	$28.83
72148 MRI scan of lower spinal canal	21	21	$1130.00	$130.70
73522 X-ray of both hips, 3-4 views	18	18	$137.00	$50.72
73630 X-ray of foot, minimum of 3 views	13	12	$103.00	$32.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$220.00	$70.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,296	16	$24.00	$10.81
99213 Established patient office or other outpatient visit, typically 15 minutes	527	364	$229.00	$73.76
20610 Aspiration and/or injection of fluid from large joint	489	288	$305.96	$70.27
J1040 Injection, methylprednisolone acetate, 80 mg	453	239	$20.00	$11.56
73564 X-ray of knee, 4 or more views	269	210	$140.29	$41.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	241	$336.00	$107.40
73502 X-ray of hip, 2-3 views	195	149	$113.13	$41.89
73562 X-ray of knee, 3 views	164	135	$121.68	$37.02
J1030 Injection, methylprednisolone acetate, 40 mg	134	43	$10.00	$6.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$340.00	$105.68
27447 Replacement of knee joint, both sides of knee	79	74	$6104.00	$1399.03
73030 X-ray of shoulder, minimum of 2 views	77	62	$105.44	$30.67
72100 X-ray of lower and sacral spine, 2-3 views	77	76	$115.13	$35.89
27130 Replacement of thigh bone and hip joint with prosthesis	52	48	$6504.04	$1388.75
73110 X-ray of wrist, minimum of 3 views	35	16	$108.43	$32.66
73610 X-ray of ankle, minimum of 3 views	28	17	$105.11	$32.06
73721 Mri scan of leg joint without contrast	28	26	$969.00	$150.12
73630 X-ray of foot, minimum of 3 views	27	15	$91.56	$27.88
73522 X-ray of both hips, 3-4 views	25	24	$133.56	$48.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	19	$318.00	$105.11
73552 X-ray of thigh bone, minimum 2 views	18	13	$83.89	$30.39
73130 X-ray of hand, minimum of 3 views	16	14	$106.00	$33.30
29881 Removal of knee cartilage using an endoscope	12	12	$2854.00	$539.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,616	25	$24.00	$11.29
99213 Established patient office or other outpatient visit, typically 15 minutes	598	373	$229.00	$72.26
20610 Aspiration and/or injection of fluid from large joint	557	321	$304.48	$67.26
J1040 Injection, methylprednisolone acetate, 80 mg	539	273	$20.00	$12.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	329	296	$336.00	$105.40
73564 X-ray of knee, 4 or more views	254	200	$140.85	$38.81
73502 X-ray of hip, 2-3 views	231	169	$112.61	$39.60
73562 X-ray of knee, 3 views	173	137	$118.18	$34.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$340.00	$105.85
J1030 Injection, methylprednisolone acetate, 40 mg	95	40	$10.00	$6.23
73030 X-ray of shoulder, minimum of 2 views	92	71	$105.41	$27.77
72100 X-ray of lower and sacral spine, 2-3 views	82	79	$115.24	$33.96
27130 Replacement of thigh bone and hip joint with prosthesis	61	59	$6200.00	$1392.31
73110 X-ray of wrist, minimum of 3 views	51	16	$113.82	$32.45
27447 Replacement of knee joint, both sides of knee	48	46	$6104.00	$1375.52
73610 X-ray of ankle, minimum of 3 views	43	20	$99.86	$29.11
73630 X-ray of foot, minimum of 3 views	35	22	$91.20	$26.00
73721 Mri scan of leg joint without contrast	30	30	$969.00	$152.97
73130 X-ray of hand, minimum of 3 views	28	21	$103.71	$31.11
73522 X-ray of both hips, 3-4 views	27	27	$137.00	$47.72
73552 X-ray of thigh bone, minimum 2 views	22	12	$83.95	$29.30
72148 MRI scan of lower spinal canal	20	20	$1154.25	$139.48
29881 Removal of knee cartilage using an endoscope	16	16	$2718.00	$548.45
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$312.00	$101.99
72040 X-ray of upper spine, 2-3 views	11	11	$109.64	$32.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	2,130	15	$0.27	$0.21
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	960	18	$24.00	$11.72
J1040 Injection, methylprednisolone acetate, 80 mg	535	287	$20.00	$12.93
20610 Aspiration and/or injection of fluid from large joint	516	312	$298.29	$68.86
99213 Established patient office or other outpatient visit, typically 15 minutes	467	320	$229.00	$73.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	434	369	$336.00	$108.77
73564 X-ray of knee, 4 or more views	295	220	$139.81	$38.08
73562 X-ray of knee, 3 views	214	165	$116.94	$33.62
73502 X-ray of hip, 2-3 views	206	165	$110.49	$38.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	158	158	$340.00	$109.19
73030 X-ray of shoulder, minimum of 2 views	133	102	$106.77	$28.39
72100 X-ray of lower and sacral spine, 2-3 views	107	104	$114.31	$33.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	65	$138.00	$44.14
27447 Replacement of knee joint, both sides of knee	72	71	$6104.00	$1446.18
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	71	49	$65.00	$25.67
97530 Therapy procedure using functional activities	51	37	$72.00	$36.47
73110 X-ray of wrist, minimum of 3 views	50	24	$117.96	$33.30
73130 X-ray of hand, minimum of 3 views	47	35	$101.02	$30.06
27130 Replacement of thigh bone and hip joint with prosthesis	45	43	$6200.00	$1447.66
73552 X-ray of thigh bone, minimum 2 views	41	21	$71.44	$25.58
73610 X-ray of ankle, minimum of 3 views	40	25	$96.45	$27.65
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	40	11	$343.00	$141.19
J1030 Injection, methylprednisolone acetate, 40 mg	32	21	$10.00	$6.71
72148 MRI scan of lower spinal canal	30	30	$1146.17	$142.93
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$312.00	$106.22
97140 Therapy procedure using manual technique, each 15 minutes	27	18	$61.00	$22.43
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	24	16	$33.00	$19.31
73522 X-ray of both hips, 3-4 views	24	24	$133.42	$47.16
73630 X-ray of foot, minimum of 3 views	23	19	$96.26	$27.16
73721 Mri scan of leg joint without contrast	22	21	$969.00	$155.77
73080 X-ray of elbow, minimum of 3 views	21	13	$99.10	$28.42
73560 X-ray of knee, 1-2 views	20	13	$79.20	$23.70
29075 Application of elbow to finger cast	19	14	$352.00	$88.72
72040 X-ray of upper spine, 2-3 views	17	16	$113.94	$32.40
73590 X-ray of lower leg, 2 views	14	11	$89.07	$27.83
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$4885.00	$1310.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	456	293	$291.41	$64.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	443	363	$336.00	$103.52
J1040 Injection, methylprednisolone acetate, 80 mg	435	246	$20.00	$11.14
99213 Established patient office or other outpatient visit, typically 15 minutes	410	287	$229.00	$69.87
73564 X-ray of knee, 4 or more views	306	218	$138.69	$35.97
73502 X-ray of hip, 2-3 views	210	168	$111.35	$36.93
73562 X-ray of knee, 3 views	189	142	$117.40	$31.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	155	155	$340.00	$104.63
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	138	92	$65.00	$24.82
97530 Therapy procedure using functional activities	116	79	$72.00	$30.57
73030 X-ray of shoulder, minimum of 2 views	116	88	$107.58	$26.85
72100 X-ray of lower and sacral spine, 2-3 views	96	92	$112.77	$31.59
27447 Replacement of knee joint, both sides of knee	79	72	$6181.27	$1378.48
97140 Therapy procedure using manual technique, each 15 minutes	64	54	$61.00	$21.97
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	57	25	$343.00	$147.96
73110 X-ray of wrist, minimum of 3 views	45	19	$113.40	$30.70
J1030 Injection, methylprednisolone acetate, 40 mg	42	31	$10.00	$5.61
73130 X-ray of hand, minimum of 3 views	41	26	$93.02	$25.30
27130 Replacement of thigh bone and hip joint with prosthesis	32	32	$5909.38	$1260.50
73552 X-ray of thigh bone, minimum 2 views	32	17	$86.16	$28.88
73630 X-ray of foot, minimum of 3 views	30	22	$92.67	$24.46
73610 X-ray of ankle, minimum of 3 views	27	14	$100.07	$27.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$424.00	$135.19
72040 X-ray of upper spine, 2-3 views	14	13	$113.50	$30.12
73721 Mri scan of leg joint without contrast	14	14	$969.00	$153.39
73522 X-ray of both hips, 3-4 views	13	13	$133.69	$44.61
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$4103.18	$1021.28

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036093095

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IA 28464

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1917237 (IA)

Medicaid State Provider ID

036093095 (IL)

Commercial Insurance / Payer ID Bcbs

8121085 (IL)

Commercial Insurance / Payer ID John Deere Family

IA0194

Commercial Insurance / Payer ID Midlands Choice

18604

Commercial Insurance / Payer ID Wellmark

05353

Commercial Insurance / Payer ID Ia Health Solutions

20170

Commercial Insurance / Payer ID Health Alliance

028389

Commercial Insurance / Payer ID Wellmark

99717

Commercial Insurance / Payer ID Wellmark

99728

Hospital & Practice Group Affiliations

Ora Orthopedics Pc

6101 Northwest Blvd, Davenport, IA 528061861

Phone: 5633220971

Ora Orthopedics Pc

520 Valley View Dr, Moline, IL 612656194

Phone: 3097623621

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners

Dr. Russell Carlson , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023271137

Doctor of Podiatric Medicine

Dr. John Baker , MD

Orthopaedic Surgery

NPI 1063490704

Doctor of Medicine (M.D.)

Dr. Michael Berry , MD

Orthopaedic Surgery

NPI 1114121969

Doctor of Medicine (M.D.)

Jennifer Miller

Physician Assistant

NPI 1134437304

John Van Straten

Anesthesiology - Pain Medicine

NPI 1164712873

Dr. Steven Boardman , MD

Orthopaedic Surgery

NPI 1174501829

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2011

Registered at 520 VALLEY VIEW DR, MOLINE, IL 612656194 (Tel: 3097623621)

📍

Updated Business Mailing Address March 18, 2011

Registered at 520 VALLEY VIEW DR, MOLINE, IL 612656194 (Tel: 3097623621)

👤

Provider Name / Credentials Updated March 18, 2011

Recorded as EDWARD CONNOLLY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2011

Orthopaedic Surgery (License #036093095 in IL)

🟢

Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750369419

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 04, 2006

Last Update: March 18, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

520 Valley View Dr

Moline, IL 612656194

Phone: 3097623621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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