Active NPI
Angela Dawn Konrad, DO
- Anatomic Pathology & Clinical Pathology Physician
- Mason City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 3963
- Practice address
- 1000 4TH St SW
Mason City, IA 50401-2800 - Phone
- (641) 428-7488
- NPI assigned
- Aug 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2007012454 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 3963 | IA | Primary |
Addresses
Primary practice location
1000 4TH St SW
Mason City, IA 50401-2800
Mailing address
1000 4TH St SW
Mason City, IA 50401-2800
Phone (641) 428-7488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207289109 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 4TH St SW
Mason City, IA 50401-2800
Phone (641) 428-7488
Hospital & facility affiliations
- Mercyone North Iowa Medical Center
- Kossuth Regional Health Center
- Floyd County Medical Center
- Franklin General Hospital
- Hancock County Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3963 | IA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 2007012454 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of Mason City | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
1408 6th St SW
Mason City, IA 50401
Phone (641) 423-3903
1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Mason City, IA
- NPI 1073550810
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Critical Access Hospital
- Hampton, IA
- NPI 1477637759
-
- Critical Access Hospital
- Britt, IA
- NPI 1912938606
-
- Critical Access Hospital
- Algona, IA
- NPI 1841361276
-
- Rural Acute Care Hospital
- Mason City, IA
- NPI 1467537886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1831206846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012800",
"telephone_number": "641-428-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012800",
"telephone_number": "641-428-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONRAD",
"first_name": "ANGELA",
"middle_name": "DAWN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "2007012454",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IA",
"license": "3963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207289109",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.