Individual Healthcare Provider
Connor Stephenson, MD
Provider's NPPES record last updated: July 18, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063098044
- Primary Specialty
- Emergency Medicine
- Practice Location
- Carbondale, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 11:24 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Emergency Medicine
Allopathic & Osteopathic Physicians
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Taxonomy code 207P00000X
Provider-Reported License Information
- Emergency Medicine (Illinois)
- 036167305
Practice Locations
Practice Location
405 W Jackson St
Carbondale, Illinois 62901-1462
Phone: (618) 549-0721
Additional Practice Location
2401 S 31st St # 11ag062
Temple, Texas 76508-0001
Phone: (254) 724-2111
Additional Practice Location
201 S 14th St
Herrin, Illinois 62948-3631
Phone: (618) 942-2171
Fax: (618) 351-4917
Additional Practice Location
2 S Hospital Dr
Murphysboro, Illinois 62966-3333
Phone: (618) 684-3156
Fax: (618) 529-0524
Record Information
- Enumeration Date
- March 22, 2021
- Provider's NPPES Record Last Updated
- July 18, 2024
- Certification Date
- July 18, 2024
- NPISignal NPPES Dataset
- August 2026
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