Provider Demographics
NPI:1376922823
Name:OJARD, CONNOR ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:CONNOR
Middle Name:ANDREW
Last Name:OJARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 AL HIGHWAY 157 STE 101
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-1819
Mailing Address - Country:US
Mailing Address - Phone:256-735-5505
Mailing Address - Fax:256-964-9954
Practice Address - Street 1:1938 AL HIGHWAY 157 STE 101
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-1819
Practice Address - Country:US
Practice Address - Phone:256-735-5505
Practice Address - Fax:256-964-9954
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL39364207X00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL250472Medicaid