TIMMIE JOE CONRAD


Address: 204 Breckenridge Lane, Louisville, KY 40207
Phone: 5028997778

TIMMIE JOE CONRAD (NPI# 1225196777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225196777
Entity Type Individual
Full Name TIMMIE JOE CONRAD
Other Name TIM CONRAD
Credential MD
Practice Address 204 Breckenridge Lane
Louisville
KY 40207
Mailing Address Po Box 6015
Louisville
KY 40206-0015
Practice Telephone 5028997778
Practice Fax Number 5028975757
Mailing Telephone 5028997778
Mailing Fax Number 5028975757
Enumeration Date 2006-12-05
Last Update Date 2014-12-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 01041184 IN Allopathic & Osteopathic Physicians
Y 207W00000X Ophthalmology 29088 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64290885 05

Office Location

Street Address 204 BRECKENRIDGE LANE
City LOUISVILLE
State KY
Zip Code 40207

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NPI Name Taxonomy Address Enumeration
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1649745191 Louisville Optometric Center, IIi, Psc Optometrist 285 Hubbards Lane, Suite 300, Louisville, KY 40207 2018-10-11
1184137440 Crimson Dove Counseling Services Inc Community/Behavioral Health 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 2017-11-09
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1578085296 Cardiovascular Medical Specialists LLC Surgery 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 2017-07-14
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1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
1306201280 A A and Associates Approved Alcohol/drug Program Counselor 4006 Dutchmans Lane, Louisville, KY 40207 2015-12-21
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710257316 Anupa Mandava Ophthalmology 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 2012-01-12
1508133174 Donald L. Kellum Ophthalmology 410 Orchard Dr, Louisville, CO 80027-3248 2011-11-25
1720376338 Thong Diep Pham Ophthalmology 301 East Muhammad Ali Boulevard, Louisville, KY 40201 2011-07-17
1851622914 Martha K Heyburn Ophthalmology 3719 Fairway Ln, Louisville, KY 40207-1414 2010-01-28
1003071200 Mark Cassol Md Psc Ophthalmology 2600 W. Broadway, Suite 105, Louisville, KY 40211 2008-07-28
1649431560 Broadway Eye Care Associates, Psc Ophthalmology 2600 W Broadway Ste 105, Louisville, KY 40211-1303 2008-06-23
1164682084 Anne P Rowland Ophthalmology 9200 Leesgate Rd Ste 100, Louisville, KY 40222-5173 2008-06-13
1093998171 M. Douglas Gossman, Md, Pllc Ophthalmology 2302 Hurstbourne Village Dr Ste 700, Louisville, KY 40299-1878 2007-12-11
1801096136 Kentucky Pediatric Ophthalmology and Strabismus, Pllc Ophthalmology 1102 Lyndon Ln, Suite A, Louisville, KY 40222-4318 2007-07-24
1588862361 Kentucky Eye Surgery Associates Psc Ophthalmology 4940 Hazelwood Avenue, Louisville, KY 40214 2007-07-03
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Competitor

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City LOUISVILLE
Zip Code 40207

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Dataset Information

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.

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