Individual provider Active NPI

Anthony G. Conrardy, M.D.

  • Anesthesiology Physician
  • Ypsilanti, MI
National Provider Identifier
1467435289
Registry record updated Dec 31, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective May 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
43809 Issued in WI
Practice address
2488 Golfside Rd
Ypsilanti, MI 48197-1383
Phone
(262) 914-0754
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 43809 WI Primary

Addresses

Primary practice location

2488 Golfside Rd
Ypsilanti, MI 48197-1383

Mailing address

2488 Golfside
Ypsilanti, MI 48197-1383
Phone (262) 914-0754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43809WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Racine Anesthesia Services, LLC Anesthesiology Past Accepting new patients
Anesthesia Care of Effingham, SC Anesthesiology Past Accepting new patients
Southeastern Wisconsin Anesthesiology, S.C. Anesthesiology Past Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Glenn Saperstein LLC Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1467435289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 GOLFSIDE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971383",
            "telephone_number": "262-914-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 GOLFSIDE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971383",
            "telephone_number": "262-914-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRARDY",
        "first_name": "ANTHONY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "43809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.