Individual provider Active NPI

Deborah L Conran, D.O.

  • Family Medicine Physician
  • Deland, FL
National Provider Identifier
1699775056
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS20695 Issued in FL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
351900700MedicaidMD
0001053003MedicaidDE
121492100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071231000124 MD Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 1759461981
I20240311001852 FL Practitioner - Family Practice 1759461981 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C20008571DEMDFamily Medicine Physician
H00056241MDMDFamily Medicine Physician
H0056241MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family Medicine CurrentSince Mar 11, 2024 Accepting new patients
Memorial Hospital-West Volusia Inc CurrentSince Apr 28, 2024 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

  • Direct secure messaging: deborah.conran@p1h.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.