Active NPI
Yvonne Conard, PA-C
- Medical Physician Assistant
- Dallas, TX
National Provider Identifier
1588049613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA09863
- Practice address
- 2650 Cedar Springs Rd
#5535
Dallas, TX 75201-1495 - Phone
- (415) 710-0585
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA09863 | TX | Primary |
Addresses
Primary practice location
2650 Cedar Springs Rd
#5535
Dallas, TX 75201-1495
Mailing address
4415 Munger Ave Unit 1
Dallas, TX 75204-4421
Phone (415) 710-0585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029177 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of North Texas PA | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Current | Accepting new patients |
Locations
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1730467440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1588049613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 MUNGER AVE UNIT 1",
"city": "DALLAS",
"state": "TX",
"postal_code": "752044421",
"telephone_number": "415-710-0585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 CEDAR SPRINGS RD",
"address_2": "#5535",
"city": "DALLAS",
"state": "TX",
"postal_code": "752011495",
"telephone_number": "415-710-0585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONARD",
"first_name": "YVONNE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA09863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.