DR. CONRAD FRANKLIN DIVEN (NPI# 1386843811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386843811 |
| Entity Type | Individual |
| Full Name | DR. CONRAD FRANKLIN DIVEN |
| Credential | MD |
| Practice Address |
13677 W Mcdowell Rd Suite 201 Goodyear AZ 85395 |
| Mailing Address |
9250 N 3rd St Ste 3015 Phoenix AZ 85020-2425 |
| Practice Telephone | 6235364200 |
| Practice Fax Number | 6238824201 |
| Mailing Telephone | 6026333721 |
| Mailing Fax Number | 6025951127 |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2018-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 46967 | AZ | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
46967 | AZ | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
46967 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 901433 | 05 |
| Street Address |
13677 W MCDOWELL RD SUITE 201 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205827938 | Timothy Owen Pfeiffer | Emergency Medicine | 13677 W Mcdowell Rd, Goodyear, AZ 85338-2618 | 2005-11-02 |
| 1730793332 | Scott Medical, LLC | Internal Medicine | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-09-02 |
| 1316555360 | Alfredo Suarez | Nurse Anesthetist, Certified Registered | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-07-15 |
| 1558985879 | Maria Sarrazin Earl | Nurse Anesthetist, Certified Registered | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-06-02 |
| 1750901989 | Uyen-nha Nguyen | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-04-17 |
| 1407485006 | Ali Mustafa | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-04-06 |
| 1396374989 | Michael Kost | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-04-06 |
| 1427686625 | Jamila Rahmaan-colder | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-04-01 |
| 1780212225 | Amy Joan Kristensen | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-03-30 |
| 1912535782 | David Jacob Tramutolo | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659493922 | Robert Mushelovich Osipov | Surgery | 13555 W Mcdowell Rd Ste 210, Goodyear, AZ 85395-2628 | 2007-04-05 |
| 1699880336 | Rama K Muddaraj Md PC | Surgery | 13555 W Mcdowell, 201a, Goodyear, AZ 85338 | 2006-08-21 |
| 1679511646 | Prashant K Narain | Surgery | 13555 W. Mcdowell Rd., Suite 204, Goodyear, AZ 85395-2626 | 2006-06-03 |
| 1669476917 | Cynthia Lynne Collins | Surgery | 13555 W Mcdowell Rd, Ste 204, Goodyear, AZ 85338-2626 | 2005-06-01 |
| 1114921467 | Michael R. Rollins | Surgery | 13555 W. Mcdowell Rd, Suite 204, Goodyear, AZ 85395-2626 | 2005-06-01 |
| 1528413929 | Southwest Valley Surgical Associates, Pllc | Surgery | 13555 W Mcdowell Rd, Suite 204, Goodyear, AZ 85395-2626 | 2016-05-04 |
| 1043482474 | West Valley Surgeons Plc | Surgery | 13555 W Mcdowell Rd, Suite 204, Goodyear, AZ 85395-2626 | 2008-03-26 |
| 1518006238 | Southwest Valley Surgeons | Surgery | 13555 W Mcdowell Rd, Suite 204, Goodyear, AZ 85338-2624 | 2007-02-06 |
| 1578504098 | Patrick O'neill | Surgery | 13677 W Mcdowell Rd, Suite 201, Goodyear, AZ 85395-2635 | 2006-06-08 |
| 1386682227 | Rama K Muddaraj | Surgery | 13555 W. Mcdowell Rd., Suite 204, Goodyear, AZ 85395-2626 | 2006-06-03 |
| Find all providers in GOODYEAR | ||||
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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.