MR. DARRYL PATRICK CONWAY (NPI# 1477547792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477547792 |
| Entity Type | Individual |
| Full Name | MR. DARRYL PATRICK CONWAY |
| Credential | ATC |
| Practice Address |
1000 S State St Ann Arbor MI 48109-2201 |
| Mailing Address |
5106 Chatsworth St Dundee MI 48131-9401 |
| Practice Telephone | 7346199337 |
| Mailing Telephone | 7346199337 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Terrapin Trail, Gossett Football Team House, College Park, MD 207420001 | 3013142663 | 3013146549 |
| Street Address |
1000 S STATE ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548803745 | Cecilia Erin Kaufman | Specialist/Technologist | 1000 S State St, Ann Arbor, MI 48109-2201 | 2019-10-21 |
| 1770135253 | Jevon Moore | Social Worker | 1000 S State St, Ann Arbor, MI 48109-2201 | 2019-07-15 |
| 1982088779 | Jaclyn Young | Specialist/Technologist | 1000 S State St, Ann Arbor, MI 48109-2201 | 2015-07-12 |
| 1093198541 | Colin Diment | Specialist/Technologist | 1000 S State St, Ann Arbor, MI 48109-2201 | 2015-07-01 |
| 1972990364 | Christie-lee Miller | Specialist/Technologist | 1000 S State St, Ann Arbor, MI 48109-2201 | 2015-04-23 |
| 1285031336 | Katelyn Elizabeth Grimes | Specialist/Technologist | 1000 S State St, Ann Arbor, MI 48109-2201 | 2014-12-04 |
| 1720497654 | Carter Pallett | Specialist/Technologist | 1000 S State St, Ann Arbor, MI 48109-2201 | 2014-08-05 |
| 1952715039 | Michael Hickey | Specialist/Technologist | 1000 S State St, Ann Arbor, MI 48109-2201 | 2014-06-17 |
| 1992125686 | Zachary Brown | Specialist/Technologist | 1000 S State St, Ann Arbor, MI 48109-2201 | 2014-04-21 |
| 1255761276 | Sierra Tittle | Specialist/Technologist | 1000 S State St, Ann Arbor, MI 48109-2201 | 2013-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571589 | Emily Ann Appold | Specialist/Technologist | 2350 S State St, Ann Arbor, MI 48104-6110 | 2020-06-03 |
| 1023649035 | Logan D Battreall | Specialist/Technologist | 3129 Woodland Hills Dr Apt 36, Ann Arbor, MI 48108-2180 | 2020-01-29 |
| 1841839347 | Mary Marlene Gocha | Specialist/Technologist | 1665 Plymouth Rd, Ann Arbor, MI 48105-1825 | 2019-12-31 |
| 1588203293 | Earl Wenk | Specialist/Technologist | 1958 S Industrial Hwy Ste C, Ann Arbor, MI 48104-4625 | 2019-12-27 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1881254662 | Amy Metiva | Specialist/Technologist | 4854 Washtenaw Ave, Ann Arbor, MI 48108-3441 | 2019-06-14 |
| 1972005601 | Andie Michelle Stark | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 100, Ann Arbor, MI 48106 | 2018-03-08 |
| 1376055350 | Sarah Anne Floyd | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-10-30 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1932639788 | Jasmine Dominique Harris | Specialist/Technologist | 4008 Ave Maria Drive, Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-06-14 |
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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.