Connor Passalacqua
Connor Passalacqua is a Family Practice in Boardman, Ohio. Qualified in 2022, 4 years ago. Works from 3 locations. Licensed in Indiana and Ohio.
- Years since qualifying
- 4
- Licensed in
- IN, OH
- In the registry since
- 2022
- Specialties on file
- 4
Practice location Address checks out
Boardman, OHNo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 313 Federal Dr Nw Ste 200, Corydon, IN 47112-3079 — (812) 738-4155
- 966 Bartley St, Jasper, IN 47546-2641 — (812) 996-7810
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 01099775A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (OH) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (IN) |
Record details
| NPI number | 1598408262 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 19, 2022 |
| Last updated in NPPES | June 4, 2026 |
| Certification date | June 4, 2026 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Boardman
-
Mursal Naisan, MD
Student / training record Boardman, OH
-
Dr. Mohammad Naiyer, DO
Student / training record Boardman, OH
-
Dr. Steven Neubauer, DO
Student / training record Boardman, OH
-
Alexander Neil Oxner
Student / training record Boardman, OH
-
Dr. Mark Passarello, DO
Student / training record Boardman, OH
-
Saurav Paudel, MD
Student / training record Boardman, OH
-
Brendan Charles Paull, DO
Student / training record Boardman, OH
-
Pauline Phung, DO
Student / training record Boardman, OH