Michael P. McConnell, MD
Michael P. McConnell, MD is a Plastic and Reconstructive Surgery in Fullerton, California. Graduated from University of Texas Medical School at Houston in 1999, 27 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 27
- Trained at
- University of Texas Medical School at Houston
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
100 E Valencia Mesa Dr Ste 311Fullerton, CA 92835-3813
Phone: (714) 446-5180
Fax: (714) 446-5181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence A75410 (CA) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence A75410 (CA) |
Record details
| NPI number | 1629117320 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | February 6, 2007 |
| Last updated in NPPES | November 8, 2021 |
| Certification date | November 8, 2021 |
| Mailing address | 100 E Valencia Mesa Dr Ste 311, Fullerton, CA 92835-3800 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduated | 1999 (27 years in practice) |
| Group practice | Providence Medical Foundation — 1465 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |