Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790130474 Individual Practitioner Male Practitioner

Jared Connolly

Pediatrics • Greenfield, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jared Connolly is a certified Pediatrics practicing in Greenfield, WI. With approximately 10 years of clinical experience since completing medical education in 2016, Jared Connolly delivers high-quality medical care to the local community at 9000 W SURA LN.

Jared Connolly is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

9000 W Sura Ln

Greenfield, WI 53228

Telephone 4142466800
Fax 4142466405
Associated Practice Facility / Clinic
🏢 Aurora Surgery Centers, Llc Facility NPI 1659839686

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Greenfield, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -1.7 yrs vs City Avg
City Avg: 11.7 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Greenfield, WI (1245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Connolly (10 Years) 10 Yrs
Greenfield Specialty Average (11.7 Years) 11.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-01-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 71078

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100089836 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

9000 W Sura Ln, Greenfield, WI 532283477

Phone: 4142466800

Secondary Practice Locations

500 Thatcher Ave

River Forest, IL 603051625

Phone: 7082034995

Practice Associates & Co-Workers

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

40 Associated Practitioners
Stephaney Bublitz , OTR, L

Occupational Therapist

NPI 1013589035

Occupational Therapist Registered, L

Madison Coady , PT

Physical Therapist

NPI 1043059017

Physical Therapist

Laura Socha , OTR

Occupational Therapist

NPI 1053599605

Occupational Therapist Registered

NPI 1053889840

Master of Physical Therapy

Kelly Liebergen

Speech-Language Pathologist

NPI 1063062271
NPI 1063500569

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 09, 2019

Registered at 9000 W SURA LN, GREENFIELD, WI 53228 (Tel: 4142466800)

📍
Updated Business Mailing Address August 09, 2019

Registered at 9000 W SURA LN, GREENFIELD, WI 532283477 (Tel: 4142466800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2019

Pediatrics (License #71078 in WI)

📍
Updated Practice Location July 01, 2019

Registered at 500 THATCHER AVE, RIVER FOREST, IL 603051625 (Tel: 7082034995)

NPI Profile Active April 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2016

Registered at UNIVERSITY OF TENNESSEE, 920 MADISON AVENUE SUITE 447, MEMPHIS, TN 381630001 (Tel: 9012876756)

📍
Updated Business Mailing Address April 29, 2016

Registered at LE BONHEUR CHILDRENS MEDICAL CTR, 50 NORTH DUNLAP STREET, MEMPHIS, TN 381630001 (Tel: 9012876756)

👤
Provider Name / Credentials Updated April 29, 2016

Recorded as JARED CONNOLLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 29, 2016

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: 1790130474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2016
Last Update: January 09, 2024
Sole Proprietor: No

Mailing Address

9000 W Sura Ln

Greenfield, WI 532283477

Phone: 4142466800

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.