Individual
PAUL F. CONARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11141 PARKVIEW PLAZA DR, SUITE 310, FORT WAYNE, IN 46845-1701
(260) 489-8898
(260) 373-4695
Mailing address
3702 NEW VISION DR, BLDG B, FORT WAYNE, IN 46845-1703
(260) 266-8210
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01052710A
IN
208C00000X
Colon & Rectal Surgery Physician
Primary
01052710A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000595624
ANTHEM
IN
01
—
000000614752
ANTHEM
IN
05
—
200267890
—
IN
05
—
200267890A
—
IN
05
—
2206599
—
OH
01
—
280000983
RR MEDICARE
IN
01
—
P00664357
MEDICARE RAILROAD
IN
Enumeration date
08/16/2005
Last updated
10/11/2022
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