Matthew H. Conrad, MD, PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

MATTHEW H. CONRAD, MD, PA

Practice address

1700 Waterfront Pkwy
BLDG 200
Wichita, KS 67206-6614

Phone

(316) 681-2227

Fax

(316) 684-5250

NPI assigned

Sep 10, 2008

Last updated

Apr 21, 2011By 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

Kristin K Conrad, RN

Title

Business Manager

Phone

(316) 681-2227

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 3

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.

• Matthew Harris Conrad, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Wichita, KS
  • NPI 1700831294
  Medicare reassignment
• Sharon L Barocco, CRNA

  • Certified Registered Nurse Anesthetist
  • Andover, KS
  • NPI 1275570145
  NPD (past)
• Patricia G Madden-Beran, CRNA

  • Certified Registered Nurse Anesthetist
  • Salina, KS
  • NPI 1730275280
  NPD (past)

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1245489632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WATERFRONT PKWY",
            "address_2": "BUILDING 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672066614",
            "telephone_number": "316-681-2227",
            "fax_number": "316-684-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WATERFRONT PKWY",
            "address_2": "BLDG 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672066614",
            "telephone_number": "316-681-2227",
            "fax_number": "316-684-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW H. CONRAD, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "316-681-2227",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100421630A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bassem Matta, M.D.
• Bassam I Mattar, MD
• Matthew a. Butler, MD, PA
• Matthew E Goltl, DC, PA (Old Town Chiropractic)
• Matthew E Robertson DMD LLC
• Lorie Matthews
• Amber N Mattke, PA
• Claudia Mattox, PA-C
• Emily Mattox
• Iman Mattox, RN

• Plastic Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.