Dr. John Concannon , DO
Pediatrics • Cranston, RI
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. John Concannon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Concannon, DO was a registered Pediatrics practicing in Cranston, RI. Throughout an active medical career spanning 1 years, Dr. Concannon provided care at the practice location at 1145 RESERVOIR AVE until profile deactivation on 2006-03-20.
Practice Location & Contact Primary Location
1145 Reservoir Ave
Suite 124
Cranston, RI 029206055
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Cranston, RI
Practicing in Cranston, RI (340 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1145 RESERVOIR AVE, SUITE 124, CRANSTON, RI 029206055 (Tel: 4019437337)
Registered at 1145 RESERVOIR AVE, SUITE 124, CRANSTON, RI 029206055 (Tel: 4019437337)
Recorded as JOHN CONCANNON, DO
Pediatrics (License #DO-00357 in RI)
Record officially reactivated for active practice on March 25, 2006
Record deactivated on March 20, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1145 Reservoir Ave, Suite 124
Cranston, RI 029206055
Phone: 4019437337
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