Active NPI
Deborah L Conran, D.O.
- Family Medicine Physician
- Deland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS20695
- Practice address
- 1431 Orange Camp Rd Ste 118
Deland, FL 32724-7770 - Phone
- (386) 943-3234
- Fax
- (386) 822-5487
- NPI assigned
- Jul 28, 2005
- Last updated
- Apr 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H00056241 | MD | |
| Family Medicine Physician | 207Q00000X | C20008571 | DE | |
| Family Medicine Physician | 207Q00000X | H0056241 | MD | |
| Family Medicine Physician | 207Q00000X | OS20695 | FL | Primary |
Addresses
Primary practice location
1431 Orange Camp Rd Ste 118
Deland, FL 32724-7770
Mailing address
1431 Orange Camp Rd Ste 118
Deland, FL 32724-7770
Phone (386) 943-3234
Other practice location 1
9714 Healthway Drive
Atlantic General Health Systems
Berlin, MD 21811-1154
Phone (410) 641-3340
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351900700 | Medicaid | MD | |
| 0001053003 | Medicaid | DE | |
| 121492100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C20008571 | DE | MD | Family Medicine Physician |
| H00056241 | MD | MD | Family Medicine Physician |
| H0056241 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Primary Care Network Inc | Family Medicine | Current | Accepting new patients |
| Memorial Hospital-West Volusia Inc | Current | Accepting new patients | |
| Atlantic Immedicare LLC | Family Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
1431 Orange Camp Rd
Ste 118
Deland, FL 32724
Phone (386) 740-4054
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
Interoperability endpoints
- deborah.conran@p1h.eclinicaldirectplus.com
- deborahconran@agh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Deland, FL
- NPI 1669639415
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1699775056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 ORANGE CAMP RD STE 118",
"city": "DELAND",
"state": "FL",
"postal_code": "327247770",
"telephone_number": "386-943-3234",
"fax_number": "386-822-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 ORANGE CAMP RD STE 118",
"city": "DELAND",
"state": "FL",
"postal_code": "327247770",
"telephone_number": "386-943-3234",
"fax_number": "386-822-5487"
}
],
"practiceLocations": [
{
"address_1": "9714 Healthway Drive",
"address_2": "Atlantic General Health Systems",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "MD",
"postal_code": "218111154",
"country_code": "US",
"telephone_number": "410-641-3340",
"fax_number": "410-641-3871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONRAN",
"first_name": "DEBORAH",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "H00056241",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C20008571",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "H0056241",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS20695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "351900700",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001053003",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121492100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
- Community Medical Center of West Volusia
- Community Medical Center of West Volusia PA
- Community Outreach Services
- Complete Wellness Chiropractic Center of Deland LLC (Complete Wellness Medical Center)
- Conficare Rehabilitation Solutions LLC
- Dana Anthony Cooper Jr., D.C.
- Cora Health Services Inc (CORA Physical Therapy - Deland)
- Cora Rahabilitation
- Cora Rehabilitation
- Khristian Corbett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.