JOSEPH A CONRAD (NPI# 1164502662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164502662 |
| Entity Type | Individual |
| Full Name | JOSEPH A CONRAD |
| Credential | M.D. |
| Practice Address |
425 E 5350 S Suite 335 Ogden UT 84405-6946 |
| Practice Telephone | 8014758600 |
| Practice Fax Number | 8014758686 |
| Mailing Telephone | 8014758600 |
| Mailing Fax Number | 8014758686 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
157844-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | RR MEDICARE | P00466650 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497264014 | Joseph Gerard Conrad | Counselor | 17 Church Street, New Preston, CT 06777 | 2017-09-26 |
| 1942864657 | Joseph Kevin Conrad | Social Worker | 1560 Leonard St Ne, Grand Rapids, MI 49505-5572 | 2019-04-29 |
| 1831486935 | Joseph Samuel Conrad | Optometrist | 1191 Byron Rd, Howell, MI 48843-1005 | 2011-07-09 |
| 1295063444 | Joseph P Conrad | Occupational Therapist | 850 W Poe Rd, Bowling Green, OH 43402-1219 | 2009-11-30 |
| 1871738203 | Joseph L Conrad | Anesthesiology | Stony Brook University Hospital, Medical/house Staff Office, Stony Brook, NY 11794-7148 | 2008-12-15 |
| 1811042427 | Joseph B Conrad | Counselor | 1700 N Mcmullen Booth Rd, Clearwater, FL 33759 | 2007-01-24 |
| 1669578530 | Joseph P. Conrad | Physician Assistant | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2006-09-16 |
| 1902892839 | Joseph Carlos Conrad | Nurse Anesthetist, Certified Registered | 364 White Oak St, Asheboro, NC 27203-5434 | 2005-09-26 |
| Street Address |
425 E 5350 S SUITE 335 |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589145 | Susan C Hustad | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6990 | 2005-06-21 |
| 1477852994 | James W Starley Md A Professional Corporation | Specialist | 425 E 5350 S, 425, Ogden, UT 84405-6946 | 2011-03-23 |
| 1669643920 | Frank Tilaro Internal Medicine PC | Internal Medicine | 425 E 5350 S, Suite 335, Ogden, UT 84405-6946 | 2008-03-14 |
| 1467637926 | Ogden Ear Nose & Throat PC | Otolaryngology | 425 E 5350 S, Suite 130, Ogden, UT 84405-6946 | 2008-01-03 |
| 1639350705 | Mountainstar Cardiovascular Services LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 425 E 5350 S, Suite #350, Ogden, UT 84405-6946 | 2007-11-16 |
| 1205032190 | Seth R Lewis Md PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-06-26 |
| 1912102997 | Elena L Goncharova Md PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-06-19 |
| 1295946499 | Carepoint Network Inc | Supports Brokerage | 425 E 5350 S, Ste 235, Ogden, UT 84405-6946 | 2007-05-28 |
| 1447470893 | Susan C Hustad Md, PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-04-26 |
| 1720141435 | Lawrence Anthony Carcelli | Psychologist | 425 E 5350 S, 370, Ogden, UT 84405-6946 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245613298 | Genesis Eldercare Physicians LLC | Internal Medicine | 400 E 5350 S, Ogden, UT 84405-6931 | 2015-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981643 | Wasatch Senior and Family Care LLC | Internal Medicine | 160 W 500 N, Heber City, UT 84032-1206 | 2019-09-17 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1497221618 | Senior Health LLC | Internal Medicine | 576 W 900 S Ste 103, Woods Cross, UT 84010-8232 | 2018-10-15 |
| 1700988656 | Robert S Powel | Internal Medicine | 9350 S 150 E Ste 150, Sandy, UT 84070-2703 | 2006-09-01 |
| 1083638308 | Mark Andrew Supiano | Internal Medicine | University of Utah Healthcare, 30 North 1900 East; Ab193 Som, Salt Lake City, UT 84132-0001 | 2006-07-27 |
| 1568489375 | Rachael Stubbs | Internal Medicine | 2981 Juliet Way, Salt Lake City, UT 84121-7023 | 2006-07-16 |
| 1265475131 | Byron Bair | Internal Medicine | Slc Vamc Grecc (182), 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-06-14 |
| 1457398703 | Randall W. Rupper | Internal Medicine | Grecc (182) Bldg. 2, Vamc, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2006-06-02 |
| 1790779106 | Bonnie J Lee | Internal Medicine | 554 S 800 E, Slc, UT 84102-2931 | 2005-08-31 |
| 1609263300 | Shannon M. Devlin | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2015-04-20 |
| Find all providers with the same taxonomy | ||||
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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.