Connor Andrew Wathen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619464989

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

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, RI

No coordinates on file. Search this address in Google Maps

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

Medicare enrollment

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

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