Anthony G Conrardy MD SC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036124893 Issued in IL

Legal business name

ANTHONY G CONRARDY MD SC

Practice address

1634 Avenue of the Cities
Moline, IL 61265-4860

Phone

(309) 762-9711

Fax

(309) 762-9747

NPI assigned

Jul 22, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony G Conrardy, MDNPI 1467435289

Title

Owner

Phone

(262) 914-0754

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony G. Conrardy, M.D.

  • Anesthesiology Physician
  • Ypsilanti, MI
  • NPI 1467435289
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1073955977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654860",
            "telephone_number": "309-762-9711",
            "fax_number": "309-762-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654860",
            "telephone_number": "309-762-9711",
            "fax_number": "309-762-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY G CONRARDY MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "CONRARDY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-914-0754",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036124893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS",
            "identifier": "036124893",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jami Lynn Andrews, RPH
• Anis Ahmad, M.D., S.C.
• Anjali Mathew MD PLLC
• Janet L Annen, RNP-BC
• Brian J Anseeuw, MD
• Evan Paul Antolik, DC
• Apex Behavioral and Dui Services PLLC
• Apollo Anesthesia and Pain Management, PLLC
• Archana Wagle M D a Professional Corporation
• Babatunde Emmanuel Aremu, DNP, PMHNP

• Anesthesiology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.