NPIMap

Individual provider Active NPI

David N Conrad, M.D.

  • Orthopaedic Surgery Physician
  • Appleton, WI
National Provider Identifier
1356545396
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
52603 Issued in WI
Practice address
820 E Grant St
Thedacare Orthopedics Plus - AMC
Appleton, WI 54911-3483
Phone
(920) 831-5050
Fax
(920) 738-6400
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DR0051572 CO
Orthopaedic Surgery Physician 207X00000X 52603 WI Primary

Addresses

Primary practice location

820 E Grant St
Thedacare Orthopedics Plus - AMC
Appleton, WI 54911-3483

Mailing address

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 445-7226

Other identifiers 1

IdentifierTypeStateIssuer
03178765MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000462 WI Practitioner - Orthopedic Surgery 6608011416 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Wisconsin School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

1970 S Ridge Rd
Green Bay, WI 54304-4125
Phone (920) 430-4888

Hospital & facility affiliations

  • Bellin Home Health Agency Home health agency, Green Bay, WI, CCN 527089
  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049
  • Thedacare Regional Medical Center - Appleton Inc Hospital, Appleton, WI, CCN 520160
  • Aurora Baycare Medical Ctr Hospital, Green Bay, WI, CCN 520193

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement41
Knee replacement59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR0051572COMDOrthopaedic Surgery Physician
52603WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oconto Hospital & Medical Center Inc CurrentSince Jul 22, 2018 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Jul 22, 2018 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jul 22, 2018 Accepting new patients
Thedacare, Incorporated CurrentSince Aug 12, 2013 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc Orthopaedic Surgery CurrentSince Jul 22, 2018 Accepting new patients
Thedacare, Incorporated CurrentSince Aug 12, 2013 Accepting new patients
Bellin Memorial Hospital Inc Past Accepting new patients

Locations

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

933 Waube Ln
Green Bay, WI 54304
Phone (920) 548-9500

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1630 Commanche Ave
Green Bay, WI 54313
Phone (920) 430-4700

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Interoperability endpoints

  • Direct secure messaging: dconrad916658@direct.emplifyhealth.org
  • Direct secure messaging: dconrad188459@direct.thedacare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1356545396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-445-7226",
            "fax_number": "920-445-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E GRANT ST",
            "address_2": "THEDACARE ORTHOPEDICS PLUS - AMC",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113483",
            "telephone_number": "920-831-5050",
            "fax_number": "920-738-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "DAVID",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR0051572",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "52603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03178765",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.