Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Conner Owen Blackwell, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578068102

Conner Owen Blackwell, MD is an Obstetrics/Gynecology in Dayton, Ohio. Graduated from Emory University School of Medicine in 2018, 8 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Trained at
Emory University School of Medicine
Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 E Apple St Ste 6258
Dayton, OH 45409-2939
Phone: (937) 245-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 161 Wyoming St Ste 100w, Dayton, OH 45409-2741 — (937) 208-0500
  • 400 Sugar Camp Cir Ste 101, Oakwood, OH 45409-1981 — (937) 567-6700
  • 1906 Belleview Ave Se, Roanoke, VA 24014-1838 — (540) 981-7000

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 35.146641 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578068102
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address1071 Dapple Ct, Fairborn, OH 45324-8772

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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