Rickie Conrady, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

14650 Issued in OK

Practice address

225 Lilac Dr Ste 200
Edmond, OK 73034-7287

Phone

(405) 330-7000

Fax

(405) 280-5661

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• National Family Medical Associates, LLC

  • Primary Care Clinic/Center
  • Tulsa, OK
  • NPI 1477287720

  Geriatric Medicine

  Medicare reassignment NPD
• Centennial Health, PC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1376585034
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1316913510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659506",
            "address_2": "SECTION 4142",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782659506",
            "telephone_number": "405-330-7000",
            "fax_number": "405-330-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 LILAC DR STE 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347287",
            "telephone_number": "405-330-7000",
            "fax_number": "405-280-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRADY",
        "first_name": "RICKIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "14650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10015790A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connected Life Chiropractic
• Sarai Connell, PHARMD
• Stephen B Conner, MD
• John Scott Conrad
• Vicki Joyce Conrad, M.D.
• Christian Contreras, DDS
• Alexia Converse
• Stephanie Conway, CCC-SLP
• Rachel Marie Conyac, AA
• Carla Cook

• Geriatric Medicine (Family Medicine) Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Geriatric Medicine (Family Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.