AMY CONRAD (NPI# 1346225653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346225653 |
| Entity Type | Individual |
| Full Name | AMY CONRAD |
| Credential | MD |
| Practice Address |
85 Sierra Park Rd Mammoth Lakes CA 93546-2073 |
| Mailing Address |
Po Box 660 Mammoth Lakes CA 93546-0660 |
| Practice Telephone | 7609244011 |
| Practice Fax Number | 7609244104 |
| Mailing Telephone | 7609244011 |
| Mailing Fax Number | 7609244104 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G77556 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285528 | Amy Conrad | Technician | 1233 Glenwood St, Milton, WV 25541 | 2019-09-27 |
| 1659519528 | Amy Kiernan Conrad | Clinical Neuropsychologist | 1610 Boyle St, Alexandria, VA 22314-2101 | 2009-01-29 |
| 1760820559 | Amy Coad Conrad | Physical Therapist | 2505 Racquet Ln, Yakima, WA 98902-6114 | 2013-06-13 |
| 1942646195 | Amy Lynn Conrad | Psychologist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-05-15 |
| 1184975245 | Amy K Conrad | Dentist | 101 W 2nd Ave, Spokane, WA 99201-3655 | 2012-09-28 |
| Street Address |
85 SIERRA PARK RD |
| City | MAMMOTH LAKES |
| State | CA |
| Zip Code | 93546-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861969370 | Elaine Alrutz | Physical Therapist | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2018-11-01 |
| 1548770837 | Cara Dolan Crosby | Physician Assistant | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2017-10-02 |
| 1225490659 | Sarah Ruberman | Pediatrics | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2016-03-24 |
| 1124402417 | Casey Piercey | Dietitian, Registered | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2015-07-16 |
| 1619372281 | Rita Klabacha | Physician Assistant | 85 Sierra Park Rd, Family Medicine Clinic, Mammoth Lakes, CA 93546-2073 | 2014-10-24 |
| 1386046662 | Evan Rowley | Physician Assistant | 85 Sierra Park Rd, Mammoth Hospital, Mammoth Lakes, CA 93546-2073 | 2014-09-18 |
| 1952716722 | Kimdoc LLC | Family Medicine | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2014-06-30 |
| 1417373770 | Carolyn Korfiatis | Registered Nurse | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2014-03-11 |
| 1861821977 | Araya Medicine Inc | Internal Medicine | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2013-11-08 |
| 1023445921 | Eriko Suzuki | Registered Nurse | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2013-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513433 | Luisana Beatriz Baires | Case Manager/Care Coordinator | 1290 Tavern Rd., Mammoth Lakes, CA 93546 | 2020-09-21 |
| 1679106371 | Jesica Jasmin Ramos Castelan | Case Manager/Care Coordinator | 365 Sierra Park Rd, Mammoth Lakes, CA 93546 | 2020-02-20 |
| 1669970224 | Andres Villalpando | Case Manager/Care Coordinator | 452 Old Mammoth Rd Suit 304, Mammoth Lakes, CA 93546 | 2018-01-30 |
| 1598278467 | Eastern Sierra Counseling and Consulting | Social Worker | 272 Sierra Manor, Suite B1, Mammoth Lakes, CA 93546 | 2017-11-14 |
| 1053771949 | Sofia Carolina Flores | Counselor | 451 Old Mammoth Rd, 304, Mammoth Lakes, CA 93546 | 2016-03-04 |
| 1669848180 | Jennifer Liebersbach | Chiropractor | 645 Old Mammoth Rd., Mammoth Lakes, CA 93546 | 2015-08-19 |
| 1316281918 | France Jacqueline Fischer | Behavioral Analyst | 2251 Meridian Blvd., Mammoth Lakes, CA 93546 | 2012-11-20 |
| 1366712424 | Richard Charles Bonneau | Counselor | 452 Old Mammoth Rd, 3rd Floor, Mammoth Lakes, CA 93546 | 2012-01-06 |
| 1407155435 | Mammoth Lakes Fire Protection District | Ambulance | 3150 Main Street, Mammoth Lakes, CA 93546 | 2011-03-16 |
| 1588964381 | Nancy Ellen Johnson | Pharmacist | 481 Old Mammoth Road, Mammoth Lakes, CA 93546 | 2010-10-26 |
| Find all providers in zip 93546 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490659 | Sarah Ruberman | Pediatrics | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2016-03-24 |
| 1821349622 | Mary Bathen Bissell | Pediatrics | 85 Sierra Park Road, Mammoth Lakes, CA 93546 | 2012-09-20 |
| 1942571211 | Dr Maria M. King Inc | Pediatrics | 437 Old Mammoth Road, Suite B3, Mammoth Lakes, CA 93546-9407 | 2012-01-19 |
| 1063568293 | Kim Escudero | Pediatrics | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 | 2007-01-29 |
| 1063528362 | Richard Owen Johnson | Pediatrics | 85 Sierra Park Road, Suite A, Mammoth Lakes, CA 93546 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | MAMMOTH LAKES |
| Zip Code | 93546 |
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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.