Provider Demographics
NPI:1790879310
Name:CONAR, MICHAEL F (PAP-C)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:F
Last Name:CONAR
Suffix:
Gender:M
Credentials:PAP-C
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Mailing Address - Street 1:2535 GEORGETOWN RD NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-3534
Mailing Address - Country:US
Mailing Address - Phone:423-244-0311
Mailing Address - Fax:615-216-8538
Practice Address - Street 1:2535 GEORGETOWN RD NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3534
Practice Address - Country:US
Practice Address - Phone:423-244-0311
Practice Address - Fax:615-216-8538
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNPA812363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2000307OtherBCBS OF TN
TN621038898OtherTAX ID
TNTN0103OtherJOHN DEERE
TN970027904OtherRAILROAD MEDICARE
FP62706OtherWORKERS COMP
TN0140208OtherUNITED HEALTH CARE
TN3669187Medicaid
TNMC0601117OtherDEA
TN3719099Medicare PIN