CLAYTON B CONRAD (NPI# 1033258058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033258058 |
| Entity Type | Individual |
| Full Name | CLAYTON B CONRAD |
| Credential | MD |
| Practice Address |
201 Cedar St Se Suite 6600 Albuquerque NM 87106 |
| Practice Telephone | 5057244300 |
| Practice Fax Number | 5057244384 |
| Mailing Telephone | 5057244300 |
| Mailing Fax Number | 5057244384 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD2010-0085 | NM | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 2004-0285 | NM | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD2010-0085 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 81880553 | 05 |
| Street Address |
201 CEDAR ST SE SUITE 6600 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315390 | Robert E. Federici | Internal Medicine | 201 Cedar St Se, Suite 7600, Albuquerque, NM 87106-4917 | 2005-06-01 |
| 1184269581 | Felicia Strange | Physician Assistant | 201 Cedar St Se, Albuquerque, NM 87106-4917 | 2019-11-10 |
| 1033699731 | Jessica Frances Brisson | Physician Assistant | 201 Cedar St Se, Albuquerque, NM 87106-4917 | 2018-08-21 |
| 1043759756 | Diana Lynn Gabaldon | Pharmacist | 201 Cedar St Se, Suite 4620, Albuquerque, NM 87106-4917 | 2017-02-14 |
| 1891233045 | Presbyterian Healthcare Services | General Acute Care Hospital | 201 Cedar St Se, Suite 4602, Albuquerque, NM 87106-4917 | 2017-02-08 |
| 1366993024 | Anne Karlovitz | Nurse Practitioner | 201 Cedar St Se, Albuquerque, NM 87106-4917 | 2016-10-18 |
| 1346691649 | Cara J Garner | Dietitian, Registered | 201 Cedar St Se, Suite 4660, Albuquerque, NM 87106-4917 | 2016-06-28 |
| 1922479914 | Michelle Maxedon | Genetic Counselor, MS | 201 Cedar St Se, Suite 405, Albuquerque, NM 87106-4917 | 2015-10-15 |
| 1366827537 | Sarah Streng | Occupational Therapist | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2015-07-29 |
| 1306228283 | Cristina Ferraro | Physician Assistant | 201 Cedar St Se, Suite 7600, Albuquerque, NM 87106-4917 | 2015-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730405176 | Dustin L Richter | Orthopaedic Surgery | Unm Dept of Orthopaedics, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2010-04-09 |
| 1003023276 | Shelby Edward Jarrell IIi | Orthopaedic Surgery | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2007-05-17 |
| 1306852900 | Robert Schenck | Orthopaedic Surgery | 2nd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| 1689689150 | Daniel Wascher | Orthopaedic Surgery | 2nd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1336175355 | Douglas C Allen | Orthopaedic Surgery | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-06-23 |
| 1407898299 | New Mexico Orthopaedic Associates PC | Orthopaedic Surgery | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-06-13 |
| 1134108186 | Laurence R Laudicina | Orthopaedic Surgery | 5150 Journal Center Blvd Ne, Dept of Orthopaedic Surgery, Albuquerque, NM 87109-5900 | 2006-01-10 |
| 1336127869 | Frank R Heckl | Orthopaedic Surgery | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-01-04 |
| 1699753129 | Anthony F Pachelli | Orthopaedic Surgery | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770801763 | Jamie L Rister | Orthopaedic Surgery | 1219 Gusdorf Rd Ste A, Taos, NM 87571-6499 | 2010-05-14 |
| 1245391168 | Daniel Alberto Romanelli | Orthopaedic Surgery | 675 Avenida De Mesilla, Las Cruces, NM 88005-3101 | 2006-12-13 |
| 1871512152 | Brant Allen Bair | Orthopaedic Surgery | 2100 Calle De La Vuelta, Suite C103, Santa Fe, NM 87505-4742 | 2006-07-18 |
| 1023069812 | Earl A Latimer IIi | Orthopaedic Surgery | 115 E 19th St, Roswell, NM 88201-5110 | 2006-05-15 |
| 1922057892 | Southwest Spine & Orthopedic Clinic PC | Orthopaedic Surgery | 1750 E 30th St, Farmington, NM 87401-9020 | 2006-05-09 |
| 1689664385 | John B Reid IIi | Orthopaedic Surgery | 1219 Gusdorf Rd, Taos, NM 87571-5402 | 2005-10-24 |
| 1982601555 | James H Lubowitz | Orthopaedic Surgery | 1219 Gusdorf Rd, Ste A, Taos, NM 87571-6499 | 2005-06-28 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.