DONALD JORDAN CONRAD (NPI# 1770748246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770748246 |
| Entity Type | Individual |
| Full Name | DONALD JORDAN CONRAD |
| Credential | D.C. |
| Practice Address |
7060 Erie Rd Suite 300 Derby NY 14047-9416 |
| Mailing Address |
400 International Dr. Williamsville NY 14221 |
| Practice Telephone | 7169470139 |
| Practice Fax Number | 7169470320 |
| Mailing Telephone | 7166313555 |
| Mailing Fax Number | 7166319525 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2014-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 011453 | NY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720191406 | Donald H. Conrad Jr. | Registered Nurse | 3927 Rucker Ave, Everett, WA 98201-4833 | 2006-08-16 |
| 1437191517 | Donald E. Conrad | Family Medicine | 502 Park Ave, Clearfield, PA 16830-2100 | 2006-06-12 |
| Street Address |
7060 ERIE RD SUITE 300 |
| City | DERBY |
| State | NY |
| Zip Code | 14047-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799656 | Tariq A Sheikh | Family Medicine | 7060 Erie Rd, Suite 100, Derby, NY 14047-9430 | 2005-06-09 |
| 1962000307 | Miranda Braner | Nurse Practitioner | 7060 Erie Rd, Derby, NY 14047-9430 | 2020-10-16 |
| 1508305673 | Ashley Skipper | Physician Assistant | 7060 Erie Rd, Derby, NY 14047-9430 | 2017-02-22 |
| 1831589787 | Jennifer Hahn | Physical Therapist | 7060 Erie Rd, Derby, NY 14047-9430 | 2015-01-30 |
| 1558750679 | Jennifer Foley | Massage Therapist | 7060 Erie Rd, Derby, NY 14047-9430 | 2015-01-13 |
| 1801211826 | Lakeshore Family Medicine Associates PC | Non-Pharmacy Dispensing Site | 7060 Erie Rd, Suite 100, Derby, NY 14047-9430 | 2014-02-27 |
| 1518389238 | Eric Dibben | Physician Assistant | 7060 Erie Rd, Derby, NY 14047-9430 | 2014-01-15 |
| 1407129109 | Angel M Szkutak | Physician Assistant | 7060 Erie Rd, Derby, NY 14047-9430 | 2012-02-12 |
| 1568768604 | Dent Neurologic Institute | Clinic/Center | 7060 Erie Rd, Suite 500, Derby, NY 14047-9430 | 2011-02-08 |
| 1154647642 | Dent Neurologic Group, LLP | Clinical Neuropsychologist | 7060 Erie Rd, Derby, NY 14047-9430 | 2010-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654494 | Brooks - Tlc Hospital System, Inc. | Rehabilitation, Substance Use Disorder Unit | 7020 Erie Road, Derby, NY 14047 | 2020-06-23 |
| 1114219607 | Frederick Eckles Jr. | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-05-03 |
| 1477887560 | Henna M Patel | Family Medicine | 7060 Erie Rd Suite 100, Derby, NY 14047 | 2009-09-23 |
| 1134300668 | Lisa M Bogner | Pharmacist | 3590 Union Rd, Cheektowaga, NY 14047 | 2007-11-27 |
| 1760546378 | James G Stengel | Internal Medicine | 1667 South Creek Rd, Derby, NY 14047 | 2006-12-20 |
| 1093888463 | Paul J Caro Md | Family Medicine | 7008 Erie Rd Rte 5, Suite A, Derby, NY 14047 | 2006-11-15 |
| 1417037755 | John M Mulawka IIi | Pediatrics | 6763 Erie Road Rt 5, Derby, NY 14047 | 2006-10-17 |
| 1720367782 | Michelle M Sirolli | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| 1770862682 | Janet E Pajak | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| 1497828461 | Harmonia Collaborative Care Inc | Clinic/Center | 6722 Erie Rd, Derby, NY 14047 | 2006-11-16 |
| Find all providers in zip 14047 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356904411 | Luke Dopps Chiropractic LLC | Chiropractor | 620 N Baltimore Ave Ste B, Derby, KS 67037-1600 | 2019-04-15 |
| 1164917894 | Thomas Alcide Cloutier | Chiropractor | 1500 E Tall Tree Rd Apt 39104, Derby, KS 67037-6039 | 2018-06-26 |
| 1659873099 | Dakota Cole Hegi | Chiropractor | 1033 N Rock Rd Ste 200, Derby, KS 67037-3662 | 2018-03-01 |
| 1831439173 | Ross Boyd Rawlins | Chiropractor | 620 N Rock Rd, Ste 150, Derby, KS 67037-3681 | 2013-02-24 |
| 1225329915 | David Spadaro | Chiropractor | 111 New Haven Ave Ste 6, Derby, CT 06418-2197 | 2011-04-28 |
| 1174849202 | Ewert Chiropractic LLC | Chiropractor | 620 N Baltimore, Suite B, Derby, KS 67037-1600 | 2010-04-14 |
| 1174854293 | Jeremy Daniel Brady | Chiropractor | 205 W Crestway Ave, Suite 100, Derby, KS 67037-1850 | 2010-01-29 |
| 1053562553 | Jonathan L Streit | Chiropractor | 2307 N Rock Rd Ste 500, Derby, KS 67037 | 2008-10-02 |
| 1508016981 | Seasons of Life Chiropractic Clinic, P.a. | Chiropractor | 828 N Baltimore Ave, Derby, KS 67037-1865 | 2008-09-23 |
| 1336320647 | Joshua Lee Altwine | Chiropractor | 1001 N Buckner St, Derby, KS 67037-1824 | 2007-11-15 |
| Find all providers in DERBY | ||||
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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.