JOHN CHRISTIAN CONRAD JR. (NPI# 1043582422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043582422 |
| Entity Type | Individual |
| Full Name | JOHN CHRISTIAN CONRAD JR. |
| Credential | P.A. |
| Practice Address |
4064 Postal Dr Roanoke VA 24018-6438 |
| Practice Telephone | 5407251226 |
| Practice Fax Number | 5408575306 |
| Mailing Telephone | 5407251226 |
| Mailing Fax Number | 5408575306 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2014-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0110003758 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110003758 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | HUMANA MEDICARE | 1043582422 | 01 |
| VA | ANTHEM MEDIGAP | 1043582422 | 01 |
| VA | INTOTAL | 1043582422 | 01 |
| VA | TRICARE/CHAMPUS | 540506332115 | 01 |
| VA | MEDICAID QMB | 1043582422 | 01 |
| VA | RAILROAD MEDICARE | P01072820 | 01 |
| VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY | 1043582422 | 01 |
| VA | AETNA | 1043582422 | 01 |
| VA | OPTIMA HEALTH PLAN | 1043582422 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306983515 | John J. Conrad | Optometrist | 16761 St. Clair Ave, Suite I, East Liverpool, OH 43920-9400 | 2007-01-30 |
| 1467452268 | John Kenneth Conrad | Surgery | 2950 W Burbank Blvd, Burbank, CA 91505-2309 | 2005-07-22 |
| 1144707142 | John Scott Conrad | Counselor | 112 W Main St, Purcell, OK 73080-4220 | 2018-07-23 |
| 1043520992 | John C Conrad | Technician, Other | 846 Stevens Dr, Richland, WA 99352-3507 | 2010-10-13 |
| 1740499342 | John W. Conrad | Chiropractor | 404 W Laurel Ave, Glendora, CA 91741-2030 | 2007-05-21 |
| 1568475036 | John Frederick Conrad | Dentist | 2300 Durant Ave, Berkeley, CA 94704-1607 | 2006-08-14 |
| 1346287471 | John Conrad | Surgery | 202 N Division St, Suite 302, Auburn, WA 98001-4939 | 2006-05-31 |
| 1679551113 | John Michael Conrad | Social Worker | 501 Bishop Ln N, Mobile, AL 36608-5821 | 2006-01-05 |
| 1558348417 | John C. Conrad | Anesthesiology | 5115 Bernard Dr, Suite 201, Roanoke, VA 24018-4357 | 2005-12-30 |
| Street Address |
4064 POSTAL DR |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-6438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407846488 | Nancy Ford Morgan | Physical Therapist | 4064 Postal Dr, Roanoke, VA 24018-6438 | 2005-10-21 |
| 1598140857 | Chelsea Greenway | Specialist/Technologist | 4064 Postal Dr, Roanoke, VA 24018-6438 | 2015-07-28 |
| 1255713640 | Jessica Siler | Specialist/Technologist | 4064 Postal Dr, Roanoke, VA 24018-6438 | 2015-06-23 |
| 1265514749 | Roanoke Orthopaedic Center, Inc. | Occupational Therapist | 4064 Postal Dr, Roanoke, VA 24018-6438 | 2006-10-20 |
| 1528161098 | Roanoke Orthopaedic Center, Inc. | Physical Therapist | 4064 Postal Dr, Roanoke, VA 24018-6438 | 2006-09-07 |
| 1821021858 | Roanoke Orthopaedic Center, Inc. | Orthopaedic Surgery | 4064 Postal Dr, Roanoke, VA 24018-6438 | 2006-07-10 |
| 1568492189 | Thomas Jackson Cundiff Jr. | Physical Therapist | 4064 Postal Dr, Roanoke, VA 24018-6438 | 2006-07-03 |
| 1023098423 | Kathryn Larson | Occupational Therapist | 4064 Postal Dr, Roanoke, VA 24018-6438 | 2006-01-20 |
| 1609854314 | Elizabeth Denton Ashe | Physician Assistant | 4064 Postal Dr, Roanoke, VA 24018-6438 | 2006-01-03 |
| 1215914544 | George Durham Henning | Orthopaedic Surgery | 4064 Postal Dr, Roanoke, VA 24018-6438 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679013536 | S4 Sand Pllc | Physician Assistant | 3909 Yarberry Ct, Roanoke, TX 76262-3355 | 2017-02-26 |
| 1952780496 | Laura Rosalie Tiffany-harrod | Physician Assistant | 14636 Shave Lake Drive, Roanoke, TX 76262 | 2015-05-28 |
| 1770832388 | Hillery Gabrielle Key | Physician Assistant | 13709 Ponderosa Ranch Rd, Roanoke, TX 76262-4535 | 2012-08-29 |
| 1275041527 | Jennifer Caroline Dudley | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-19 |
| 1801304407 | Tyler Bryce Kemp | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-17 |
| 1194231449 | Chelsea Behetherland Greenspan | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2017-12-22 |
| 1548708670 | Mackenzie Meador Patterson | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-02-09 |
| 1013454776 | Kathryn Conrad Hoyt | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-01-19 |
| 1578009775 | Kathryn Lyon Tolmie | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-01-11 |
| 1518401272 | Brian Buccola | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2016-12-14 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.