Active NPI
Teresa L. Conrad, M.D.
- Obstetrics & Gynecology Physician
- Orlando, FL
National Provider Identifier
1003897919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME67035
- Practice address
- 83 W Miller St
Orlando, FL 32806-2031 - Phone
- (321) 843-8164
- Fax
- (407) 389-5312
- NPI assigned
- Nov 8, 2005
- Last updated
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME67035 | FL | Primary |
Addresses
Primary practice location
83 W Miller St
Orlando, FL 32806-2031
Mailing address
83 W Miller St
Orlando, FL 32806-2031
Phone (321) 843-8164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376137100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exodus Women's Center, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
| Exodus Women's Center, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
| St Josephs Specialty Services Inc | Past | Accepting new patients | |
| Tampa Obstetrics, P.a. | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- tconrad27625@capefearvalley.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Lakeland, FL
- NPI 1336306372
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1477710242
-
- Surgery Physician
- Tampa, FL
- NPI 1750411237
-
- Obstetrics & Gynecology Physician
- Brandon, FL
- NPI 1972694198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1003897919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062031",
"telephone_number": "321-843-8164",
"fax_number": "407-389-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062031",
"telephone_number": "321-843-8164",
"fax_number": "407-389-5312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "TERESA",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME67035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376137100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.