Active NPI
Conrada C. Ola, M.D.
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1790711547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD037757L
- Practice address
- 1315 Windrim Ave
Philadelphia, PA 19141-2710 - Phone
- (215) 455-3900
- NPI assigned
- Jun 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD037757L | PA | Primary |
Addresses
Primary practice location
1315 Windrim Ave
Philadelphia, PA 19141-2710
Mailing address
3101 Boardwalk Tower 2
Apartment 2702
Atlantic City, NJ 08401-5162
Phone (609) 317-4170
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD037757L | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1790711547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 BOARDWALK TOWER 2",
"address_2": "APARTMENT 2702",
"city": "ATLANTIC CITY",
"state": "NJ",
"postal_code": "084015162",
"telephone_number": "609-317-4170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 WINDRIM AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191412710",
"telephone_number": "215-455-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLA",
"first_name": "CONRADA",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD037757L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.