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Deactivated NPI 1487655387 Deactivated / Inactive NPI Male Practitioner

Dr. David E Conner , MD

Specialist • Peoria, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Conner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2005
NPI Deactivation Date January 24, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. David Conner, MD was a registered Specialist practicing in Peoria, IL. Throughout an active medical career spanning 19 years, Dr. Conner provided care at the practice location at 6000 N ALLEN ROAD until profile deactivation on 2024-01-24.

Practice Location & Contact Primary Location

Practice Address

6000 N Allen Road

Peoria, IL 616143294

Telephone 3096911400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Peoria, IL (1322 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Brent Johnson , MD

Orthopaedic Surgery - Sports Medicine

NPI 1003817792

Doctor of Medicine (M.D.)

Dr. Fahed Elchami , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013300839

Doctor of Podiatric Medicine

Jacob Day

Physician Assistant - Surgical

NPI 1013754480
Linda Elliott , PTA

Physical Therapy Assistant

NPI 1023151024

Physical Therapist Assistant

Lucas Roth , PA-C

Physician Assistant - Surgical

NPI 1083124846

Physician Assistant (Certified)

Stephanie Randell , OT

Occupational Therapist

NPI 1083659247

Occupational Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 24, 2024

Record deactivated on January 24, 2024

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 6000 N ALLEN ROAD, PEORIA, IL 616143294 (Tel: 3096911400)

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Updated Business Mailing Address July 09, 2007

Registered at 6000 N ALLEN ROAD, PEORIA, IL 616143294 (Tel: 3096911400)

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Provider Name / Credentials Updated July 09, 2007

Recorded as DAVID CONNER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist

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Initial NPI Registration & Enumeration August 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487655387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2005
Last Update: July 09, 2007
Deactivation Date: January 24, 2024

Mailing Address

6000 N Allen Road

Peoria, IL 616143294

Phone: 3096911400

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.