John Conrad, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00046250 Issued in WA

Practice address

202 N Division St
Suite 302
Auburn, WA 98001-4939

Phone

(253) 394-0125

Fax

(253) 394-0020

NPI assigned

May 31, 2006

Last updated

Nov 29, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA, KY, TX3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

General SurgeryAlso: Surgical Oncology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glen Rose Healthcare, IncGroup PAC ID 6709986656, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1948/brand/1/csg/1/fhir/r4
• Direct secure messaging: john.conrad.1@1948.direct.athenahealth.com
• Direct secure messaging: johnconrad@grmf.medalliesdirect.net

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.

• Glen Rose Healthcare, Inc

  • Family Medicine Physician
  • Glen Rose, TX
  • NPI 1568509586
  Medicare reassignment Care Compare group NPD
• South Sound Surgery, PLLC

  • Surgery Physician
  • Auburn, WA
  • NPI 1467407353
  Medicare reassignment Authorized official
• Memorial Hospital, Inc.

  dba Physician Services of Memorial Hospital

  • Specialist
  • Manchester, KY
  • NPI 1831150119
  Medicare reassignment NPD
• Memorial Hospital Inc.

  dba AdventHealth Manchester

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1255471827
  NPD
• Somervell County Hospital District

  dba Glen Rose Medical Center

  • Rural Acute Care Hospital
  • Glen Rose, TX
  • NPI 1700826575
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Somervell County Hospital District

  dba Glen Rose Medical Center

  • Rural Acute Care Hospital
  • Glen Rose, TX
  • NPI 1700826575
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1346287471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2486",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985072486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N DIVISION ST",
            "address_2": "SUITE 302",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014939",
            "telephone_number": "253-394-0125",
            "fax_number": "253-394-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00046250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jane Comito, RPH
• Amber Midori Conley
• Connect Counseling and Consulting
• Carl John Conrad
• Charlene Ann Conrad, LMP
• Samuel Eiband Conte, PA
• Ambrose Lorenzo Contreras
• Diana Armida Contreras, MEDICAL INTERPRETER
• Convenient Medical Care
• Cook Family Dentistry

• Surgery Physician in Auburn, WA
• Providers in Auburn, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.