Nicole Conrad (NPI# 1679565881, PAC ID# 7012998651) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1679565881 |
| PAC ID by PECOS | 7012998651 |
| Professional Enrollment ID | I20110825000528 |
| Full Name | Nicole Conrad |
| Organization Legal Name | CLEARLY DERM, LLC |
| Address |
7050 W Palmetto Park Rd Boca Raton FL 33433-3463 |
| Phone Number | 5613533376 |
| Gender | F |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2163694423 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 | 5613533376 | CLEARLY DERM, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 68% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 97% |
| Organization Legal Name | CLEARLY DERM, LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison B Sammons | Nurse Practitioner | Clearly Derm, LLC | 2320 Ne 62nd St, Fort Lauderdale, FL 33308-2208 |
| Angela Giancola Weatherall | Dermatology | Clearly Derm, LLC | 1760 N Congress Ave, Suite 200, Boynton Beach, FL 33426-8216 |
| Lindsay Nardi | Physician Assistant | Clearly Derm, LLC | 1760 N Congress Ave, Suite 200, Boynton Beach, FL 33426-8216 |
| Jodi Arnold-burkholz | Physician Assistant | Clearly Derm, LLC | 1760 N Congress Ave, Suite 200, Boynton Beach, FL 33426-8216 |
| Meredith M Hancock | Dermatology | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Suite 30, Boca Raton, FL 33433-3463 |
| Erika L Luceri | Physician Assistant | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 |
| Tobi B Richman | Dermatology | Clearly Derm, LLC | 690 Meadows Rd, Fl 1, Boca Raton, FL 33486-2344 |
| Elizabeth A. Simon | Physician Assistant | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 |
| Dan Ilkovitch | Dermatology | Clearly Derm, LLC | 2320 Ne 62nd St, Fort Lauderdale, FL 33308-2208 |
| Sasha M Chediak | Dermatology | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 |
| Street Address |
7050 W PALMETTO PARK RD |
| City | BOCA RATON |
| State | FL |
| Zip | 33433-3463 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc Buddy Klein | Podiatry | Marc B Klein Dpm Pa | 7050 W Palmetto Park Rd, Suite 18, Boca Raton, FL 33433-3462 |
| Meredith M Hancock | Dermatology | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Suite 30, Boca Raton, FL 33433-3463 |
| Erika L Luceri | Physician Assistant | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 |
| Elizabeth A. Simon | Physician Assistant | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 |
| Sasha M Chediak | Dermatology | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 |
| Andrew R Styperek | Dermatology | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 |
| Ronnie Greissman | Podiatry | Marc B Klein Dpm Pa | 7050 W Palmetto Park Rd, Suite 18, Boca Raton, FL 33433-3462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather M Cohen Meiselman | Clinical Social Worker | 8067 Mizner Ln, Boca Raton, FL 33433-1126 | |
| Jill S Howard | Internal Medicine | Infectious Disease Associates Pa | 1050 N W 15th St, Suite 205, Boca Raton, FL 33433-1375 |
| Shiri Zweibel | Qualified Speech Language Pathologist | Florida Movement Therapy Center-boca Raton, LLC | 21345 Powerline Rd, Suite 100, Boca Raton, FL 33433-2317 |
| Kortnee Sindel | Physical Therapy | Florida Movement Therapy Center-boca Raton, LLC | 21345 Powerline Rd, Suite 100, Boca Raton, FL 33433-2317 |
| Edward P Gray | Occupational Therapy | Florida Movement Therapy Center-boca Raton, LLC | 21345 Powerline Rd, Suite 100, Boca Raton, FL 33433-2317 |
| Lori Wasserman | Psychologist, Clinical | 21301 Powerline Rd, Suite 209, Boca Raton, FL 33433-2390 | |
| Danielle Gurion | Psychologist, Clinical | 21301 Powerline Rd, Suite 209, Boca Raton, FL 33433-2390 | |
| Suzanne Wachtel | Clinical Social Worker | 21301 Powerline Rd, Suite 304, Boca Raton, FL 33433-2391 | |
| Frances M Rizzo | Clinical Social Worker | 21301 Powerline Rd, Suite 304, Boca Raton, FL 33433-2391 | |
| Pam M Brown | Clinical Social Worker | 21301 Powerline Rd, Suite 304, Boca Raton, FL 33433-2391 | |
| Find all physicians in zip 33433 | |||
| City | BOCA RATON |
| Zip Code | 33433 |
| Specialty | DERMATOLOGY |
| City + Specialty | BOCA RATON + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.