Connor Fordham, DO
NPI 1790539484 · Student in an Organized Health Care Education/Training Program · Phoenix, AZ
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Connor Fordham, DO is a Student in an Organized Health Care Education/Training Program provider in Phoenix, AZ (NPI 1790539484).
Provider details
- NPI number
- 1790539484
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-17
- Last updated
- 2024-04-17
- Certified
- 2024-04-17
Frequently asked questions
- What is Connor Fordham's NPI number?
- Connor Fordham's National Provider Identifier (NPI) is 1790539484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Connor Fordham's specialty?
- Connor Fordham is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Connor Fordham located?
- Connor Fordham's practice location on file with NPPES is 2601 E Roosevelt St, Phoenix, AZ 85008-4973.
- What is Connor Fordham's phone number?
- The practice phone number listed in the NPPES registry for Connor Fordham is (801) 599-6392.
- Does Connor Fordham accept Medicare?
- Connor Fordham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Connor Fordham's NPI active?
- Yes — Connor Fordham's NPI (1790539484) is active in the NPPES registry as of the last update on 2024-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.