Connor Andrew Wathen
Connor Andrew Wathen is a Neurosurgery in Philadelphia, Rhode Island. Qualified in 2018, 8 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Rhode Island.
- Years since qualifying
- 8
- Licensed in
- PA, RI
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
593 Eddy Street Apc 6Philadelphia, RI 02903-4923
Phone: (401) 793-9166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurological Surgery Physician (primary) | Taxonomy 207T00000X · Licence MD20205 (RI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (PA) |
Record details
| NPI number | 1619464989 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 22, 2018 |
| Last updated in NPPES | June 6, 2025 |
| Certification date | May 21, 2025 |
| Mailing address | 117 Ellenfield St Ste 101, Providence, RI 02905-4541 |
Medicare enrollment
| Medicare specialty | NEUROSURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Lifespan Physician Group Inc — 1125 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |