Gretchen Lynn Conroy, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036113582 Issued in IL

Practice address

24401 Calle de la Louisa Ste 200
Laguna Hills, CA 92653-3624

Phone

(499) 452-7200

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Wellington Radiology Group, S.C.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1316057334
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1922272103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 85TH ST",
            "address_2": "#21A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287405",
            "telephone_number": "312-835-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA STE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533624",
            "telephone_number": "499-452-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "GRETCHEN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036113582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David George Congo, PSY.D.
• Janet Marie Congo, MFT
• Connect Hearing, Inc.
• Chelsea Faith Connolly
• James W Connor, MD
• Victoria Consani, DPT
• Consulting Dynamics, Inc.
• Maribel Contreras
• Micaela Angela Cook
• Lawrence William Cooke, M.D.

• Diagnostic Radiology Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.