Conrad Mitchell Bajor, D.O.
Individual provider Active NPI Family Medicine Physician · Springfield, MO
NPI 1023577178 · NPPES record last updated Aug 30, 2022
Key facts
- NPI
- 1023577178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2022033960 (MO)
- Practice address
- 1235 E Cherokee St
Springfield, MO 65804-2203 - Phone
- (417) 820-2600
- NPI assigned
- Mar 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600
Hospital & facility affiliations
- Mercy Hospital Springfield
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220914002356 | MO | Practitioner - Family Practice | 7911235254 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022033960 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy St. Francis Hospital | Current |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Family Medicine | Current |
Accepting new patients |
| Mercy Hospital Aurora | Current |
Accepting new patients | |
| Mercy Hospital Cassville | Current |
Accepting new patients | |
| Mercy Hospital Aurora | Current |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Family Medicine | Current |
Accepting new patients |
| Mercy Hospital Cassville | Current |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Family Medicine | Current |
Accepting new patients |
| Mercy St. Francis Hospital | Current |
Accepting new patients | |
| Mercy Hospital Springfield | Past | Accepting new patients |
Locations
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
Interoperability endpoints
- conrad.bajor@hca2.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2022033960 | MO | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1235 E Cherokee St
Springfield, MO 65804-2203
Mailing address
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600
Other providers in Springfield, MO
- Whitney Dawn Bair
- Christin Elizabeth Baird
- Jennifer Baird
- Jeremy Kendel Baird
- William A Baird
- Amanda Baker
- Brianna M Baker
- Dorothy Chaffee Baker
- Gigi E Baker
- Jay P Baker
All providers in Springfield, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.