Tim Conrad, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01041184 Issued in IN

Legal business name

TIM CONRAD, M.D.

Practice address

1919 State St Ste 210
New Albany, IN 47150-6805

Phone

(502) 944-6063

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tim J Conrad, MD

Title

Owner

Phone

(502) 899-7778

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Conrad Eye Centers Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Andrew Curran, PA-C

  • Physician Assistant
  • Nashville, TN
  • NPI 1750875787
  NPD (past)
• Laura Conrad Wilbanks, M.D.

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1386024446
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1760683155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6015",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402060015",
            "telephone_number": "502-899-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 STATE ST STE 210",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506805",
            "telephone_number": "502-944-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM CONRAD, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-899-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01041184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1225196777",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200261230A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6429088500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1225196777",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conrad Eye Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thompson & Chou Center for Physical
• Kimberly Ann Thompson-Texidor, LMFT
• Aleshia Marie Thompson, MD
• Nicholas Thrasher, PHARM.D.
• Donna Way Tilson, M.D.
• Jamie Tingley
• Patricia Titus, M.A., CCC-SLP
• James Rodman Todd, LCSW
• Taylor Nicole Toler
• Tera Tonkins, BS, LMT

• Ophthalmology Physician in New Albany, IN
• Providers in New Albany, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.